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OFFICIAL OKLAHOMA TRAFFIC COLLISION
REPORT INSTRUCTION MANUAL
Revision – 2011
Blank
i Revised October 20, 2011
Letter from Commissioner
ii Revised October 20, 2011
Blank Page
1 Revised October 20, 2011
Collision Report Form
2 Revised October 20, 2011
3 Revised October 20, 2011
4 Revised October 20, 2011
Collision Report Supplementals
5 Revised October 20, 2011
6 Revised October 20, 2011
7 Revised October 20, 2011
8 Revised October 20, 2011
9 Revised October 20, 2011
OFFICIAL OKLAHOMA TRAFFIC COLLISION
REPORT INSTRUCTION MANUAL
Table of Contents
Section Page
LETTER FROM COMMISSIONER..........................................................................................................I
COLLISION REPORT FORM .................................................................................................................1
COLLISION REPORT SUPPLEMENTALS ..........................................................................................4
TABLE OF CONTENTS...............................................................................................................................9
IMPORTANCE OF DATA COLLECTION...................................................................................................16
ARTICLE I COLLISION REPORT PROTOCOLS ......................................................................................17
ARTICLE II OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT.....................................................20
ARTICLE III PAGE #1, TOP SECTION ......................................................................................................20
A. DO NOT WRITE IN THIS SPACE:.................................................................................................20
1) PG ___ OF ___:.............................................................................................................................20
2) INCIDENT REPORT:......................................................................................................................21
3) INVESTIGATION COMPLETED: ...................................................................................................21
4) INVESTIGATION MADE AT SCENE: ............................................................................................21
5) PHOTOGRAPHS:..........................................................................................................................22
6) REVISED REPORT:.......................................................................................................................22
7) FATALITY:.....................................................................................................................................22
8) HIT AND RUN:...............................................................................................................................22
ARTICLE IV PAGE #1, LINE 1 ...................................................................................................................23
9) REPORTING AGENCY:.................................................................................................................23
10) CASE NUMBER (AGENCY USE): .................................................................................................23
11) MOTOR VEHICLES INVOLVED: ...................................................................................................23
12) NUMBER INJURED: ......................................................................................................................24
13) NUMBER KILLED:.........................................................................................................................24
ARTICLE V PAGE #1, LINE 2 ....................................................................................................................24
14) DATE: ............................................................................................................................................25
15) TIME: .............................................................................................................................................25
16) COUNTY NUMBER:.......................................................................................................................26
17) COUNTY NAME: ............................................................................................................................26
18) IN / NEAR CITY:............................................................................................................................26
19) CITY / TOWN NUMBER:................................................................................................................27
20) CITY / TOWN NAME: .....................................................................................................................27
ARTICLE VI PAGE #1, LINE 3 ...................................................................................................................27
21) DISTANCE FROM CITY / TOWN:..................................................................................................27
22) MILES / FEET:...............................................................................................................................28
23) N-S:................................................................................................................................................28
24) DISTANCE FROM CITY / TOWN:..................................................................................................28
25) MILES / FEET:...............................................................................................................................29
26) E-W:...............................................................................................................................................29
27) CONTROL NUMBER: ....................................................................................................................29
10 Revised October 20, 2011
28) INT ID: ...........................................................................................................................................30
29) LOCATION: ...................................................................................................................................30
30) COUNTY SECTION LINE GRIDS (EAST GRID): ..........................................................................31
31) COUNTY SECTION LINE GRIDS (NORTH GRID):.......................................................................32
32) ADMINISTRATIVE: ........................................................................................................................32
ARTICLE VII PAGE #1, LINE 4 ..................................................................................................................33
33) STREET, ROAD OR HIGHWAY: ...................................................................................................33
34) AT: .................................................................................................................................................33
35) DISTANCE FROM INTERSECTING STREET, ROAD OR HIGHWAY: ........................................35
36) MILES / FEET:...............................................................................................................................35
37) N-S, E-W:.......................................................................................................................................35
38) (NEAREST) INTERSECTION STREET, RD OR HIGHWAY:........................................................35
ARTICLE VIII PAGE #1, LINE 5 .................................................................................................................36
39) UNIT: .............................................................................................................................................36
40) OCCUPANTS: ...............................................................................................................................37
41) UNIT TYPE:...................................................................................................................................38
42) HIT & RUN:....................................................................................................................................39
43) COMMERCIAL MOTOR VEHICLE: ...............................................................................................39
44) LAST NAME: .................................................................................................................................40
45) FIRST NAME: ................................................................................................................................40
46) MIDDLE: ........................................................................................................................................40
47) SUFFIX:.........................................................................................................................................41
48) DATE OF BIRTH: MM/DD/YYYY: ..................................................................................................41
49) DRIVER’S SEX:.............................................................................................................................41
ARTICLE IX PAGE #1, LINE 6 ...................................................................................................................42
50) ADDRESS: ....................................................................................................................................42
51) CITY:..............................................................................................................................................42
52) STATE: ..........................................................................................................................................42
53) ZIP CODE:.....................................................................................................................................43
54) TELEPHONE NUMBER: ................................................................................................................43
ARTICLE X PAGE #1, LINE 7 ....................................................................................................................43
55) DRIVER LICENSE NUMBER: ........................................................................................................44
56) DRIVER LICENSE STATE: ............................................................................................................44
57) CLASS:..........................................................................................................................................44
58) ENDORSEMENT(S):......................................................................................................................45
59) ENDORSEMENT(S):......................................................................................................................45
60) ENDORSEMENT(S):......................................................................................................................45
61) RESTRICTION(S):..........................................................................................................................45
62) RESTRICTION(S):..........................................................................................................................45
63) RESTRICTION(S):..........................................................................................................................45
64) INJURY SEVERITY:......................................................................................................................45
65) TYPE OF INJURY: .........................................................................................................................46
66) TYPE OF INJURY: .........................................................................................................................46
67) TYPE OF INJURY: .........................................................................................................................46
68) TYPE OF INJURY: .........................................................................................................................46
69) TYPE OF INJURY ..........................................................................................................................46
70) DRIVER/PEDESTRIAN CONDITION:............................................................................................47
71) OCCUPANT PROTECTION SYSTEM USE: .................................................................................47
ARTICLE XI PAGE #1, LINE 8 ...................................................................................................................48
72) AIR BAG: .......................................................................................................................................48
73) EJECTED: .....................................................................................................................................48
74) EXTRICATED:...............................................................................................................................49
75) CHEMICAL TEST:..........................................................................................................................49
76) PERCENT BLOOD ALCOHOL CONCENTRATION (BAC): ..........................................................50
77) TRANSPORTED BY:......................................................................................................................50
78) TO MEDICAL FACILITY:................................................................................................................50
11 Revised October 20, 2011
79) LICENSE PLATE NUMBER: ..........................................................................................................51
80) STATE: ..........................................................................................................................................51
81) MONTH:.........................................................................................................................................52
82) YEAR:............................................................................................................................................52
ARTICLE XII PAGE #1, LINE 9 ..................................................................................................................52
83) VEHICLE IDENTIFICATION NUMBER (VIN): ...............................................................................52
84) VEHICLE YEAR:............................................................................................................................53
85) COLOR:.........................................................................................................................................53
86) SECOND COLOR:.........................................................................................................................54
87) MAKE:............................................................................................................................................54
88) MODEL:.........................................................................................................................................55
89) VEHICLE CONFIGURATION:........................................................................................................55
90) EXTENT OF DAMAGE:..................................................................................................................56
ARTICLE XIII PAGE #1, LINE 10 ...............................................................................................................56
91) INSURANCE VERIFICATION: .......................................................................................................56
92) INSURANCE COMPANY NAME:...................................................................................................57
93) POLICY NUMBER:........................................................................................................................57
94) INSURANCE TELEPHONE NUMBER:..........................................................................................58
ARTICLE XIV PAGE #1, LINE 11...............................................................................................................58
95) VEHICLE REMOVED BY: ..............................................................................................................58
96) OWNER’S LAST NAME: ................................................................................................................58
97) OWNER’S FIRST NAME:...............................................................................................................59
98) OWNER’S MIDDLE INITIAL:..........................................................................................................60
99) OWNER’S SUFFIX:........................................................................................................................60
ARTICLE XV PAGE #1, LINE 12................................................................................................................60
100) VEHICLE OWNER’S ADDRESS:...................................................................................................60
101) VEHICLE OWNER’S CITY: ............................................................................................................61
102) VEHICLE OWNER’S STATE:.........................................................................................................61
103) VEHICLE OWNER’S ZIP CODE: ...................................................................................................61
104) OVERSIZED LOAD: .......................................................................................................................62
105) TOWED VEHICLE TYPE: ..............................................................................................................63
106) ROLLED: .......................................................................................................................................63
107) BURNED:.......................................................................................................................................63
108) PHONE PRESENT:.......................................................................................................................63
109) PHONE IN USE:............................................................................................................................64
ARTICLE XVI PAGE #1, LINE 13...............................................................................................................64
110) CITATION NUMBER: .....................................................................................................................64
111) STATUTE/ORDINANCE NUMBER:...............................................................................................64
112) CITATION NUMBER: .....................................................................................................................64
113) STATUTE/ORDINANCE NUMBER:...............................................................................................64
ARTICLE XVII PAGE #1, LINE 23..............................................................................................................65
114) INVESTIGATING OFFICER: ..........................................................................................................65
115) BADGE NUMBER:.........................................................................................................................65
116) TROOP/DIVISION: .........................................................................................................................65
117) REVIEWED BY (INITIALS):............................................................................................................66
118) REVIEWER BADGE NUMBER: .....................................................................................................66
119) DATE OF REPORT (MM/DD/YYYY):.............................................................................................66
ARTICLE XVIII PAGE #2, TOP SECTION..................................................................................................67
120) CASE NUMBER: ............................................................................................................................67
121) PG ___ OF ___:.............................................................................................................................67
ARTICLE XIX PAGE #2, LINE 24...............................................................................................................67
122) UNIT: .............................................................................................................................................68
123) INJURED: ......................................................................................................................................68
12 Revised October 20, 2011
124) WITNESS: .....................................................................................................................................68
125) PASSENGER: ...............................................................................................................................68
126) PROPERTY OWNER:....................................................................................................................68
127) POSITION IN VEHICLE: ................................................................................................................69
128) LAST NAME: .................................................................................................................................69
129) FIRST NAME: ................................................................................................................................71
130) MIDDLE INITIAL: ............................................................................................................................71
131) SUFFIX:.........................................................................................................................................71
132) DATE OF BIRTH: MM/DD/YYYY: ..................................................................................................71
133) SEX:...............................................................................................................................................72
ARTICLE XX PAGE #2, LINE 25................................................................................................................72
134) ADDRESS: ....................................................................................................................................72
135) CITY:..............................................................................................................................................72
136) STATE: ..........................................................................................................................................73
137) ZIP CODE:.....................................................................................................................................73
138) TELEPHONE NUMBER: ................................................................................................................74
ARTICLE XXI PAGE #2, LINE 26...............................................................................................................74
139) INJURY SEVERITY:......................................................................................................................74
140) TYPE OF INJURY: .........................................................................................................................75
141) TYPE OF INJURY: .........................................................................................................................75
142) TYPE OF INJURY: .........................................................................................................................75
143) TYPE OF INJURY: .........................................................................................................................75
144) TYPE OF INJURY: .........................................................................................................................75
145) OCCUPANT PROTECTION SYSTEM USE: .................................................................................76
146) AIR BAG: .......................................................................................................................................76
147) EJECTED: .....................................................................................................................................76
148) EXTRICATED:...............................................................................................................................77
149) TRANSPORTED BY:......................................................................................................................78
150) TO MEDICAL FACILITY:................................................................................................................78
151) PROPERTY TYPE: ........................................................................................................................78
ARTICLE XXII PAGE #2, LINE 36..............................................................................................................78
152) UNIT: .............................................................................................................................................79
153) CARRIER NAME: ...........................................................................................................................79
154) ADDRESS: ....................................................................................................................................82
ARTICLE XXIII PAGE #2, LINE 37.............................................................................................................82
155) CITY:..............................................................................................................................................82
156) STATE: ..........................................................................................................................................82
157) ZIP: ................................................................................................................................................83
158) GVWR/GCWR: ...............................................................................................................................83
159) WEIGHT ........................................................................................................................................82
160) AXLE QUANTITY: ..........................................................................................................................84
161) CARGO BODY: ..............................................................................................................................84
162) VEHICLE USE: ...............................................................................................................................85
ARTICLE XXIV PAGE #2, LINE 38 ............................................................................................................86
163) U.S. DOT NUMBER: ......................................................................................................................86
164) NASI REPORT NUMBER:..............................................................................................................86
165) PLACARD NUMBER:.....................................................................................................................87
166) HAZARDOUS MATERIAL CLASS: ................................................................................................87
167) HAZARDOUS MATERIALS INVOLVED: .......................................................................................88
168) HAZARDOUS MATERIALS RELEASE:.........................................................................................89
ARTICLE XXV PAGE #3, TOP SECTION ..................................................................................................89
169) CASE NUMBER: ............................................................................................................................89
170) PG ___ OF ___:.............................................................................................................................89
ARTICLE XXVI PAGE #3, UNIT SECTION................................................................................................90
13 Revised October 20, 2011
171) UNIT: .............................................................................................................................................90
172) TOTAL LANES IN ROADWAY:......................................................................................................90
173) LEGAL SPEED:.............................................................................................................................91
174) PEDESTRIAN/PEDALCYCLIST ACTIONS PRIOR TO COLLISION:............................................92
175) PEDESTRIAN/PEDALCYCLIST LOCATION AT TIME OF COLLISION: ......................................93
176) PEDESTRIAN/PEDALCYCLIST SAFETY EQUIPMENT:..............................................................93
177) UNIT NUMBER OF MOTOR VEHICLE STRIKING PEDESTRIAN/PEDALCYCLIST: ..................94
ARTICLE XXVII PAGE #3, WORK ZONE SECTION.................................................................................94
178) WAS COLLISION IN A WORK ZONE:...........................................................................................95
179) TYPE OF WORK ZONE: ................................................................................................................95
180) LOCATION OF THE WORK ZONE COLLISION: ..........................................................................95
181) WORKERS PRESENT:..................................................................................................................96
182) LIGHT: ...........................................................................................................................................96
183) WEATHER:....................................................................................................................................97
184) LOCALITY: ....................................................................................................................................97
185) TYPE OF INTERSECTION: ...........................................................................................................98
186) INCIDENT TYPE: ...........................................................................................................................98
187) LOCATION OF FIRST HARMFUL EVENT: ...................................................................................99
188) WHAT WAS VEHICLE GOING TO DO:.........................................................................................99
189) WHAT VEHICLE DID: ..................................................................................................................100
190) VISIBILITY OBSCURED BY:........................................................................................................101
191) DRIVER DISTRACTED BY: .........................................................................................................101
192) UNDERRIDE/OVERRIDE: ...........................................................................................................102
193) TRAFFIC CONTROL:...................................................................................................................102
194) ROAD SURFACE CONDITIONS: ................................................................................................103
195) ROAD CHARACTER:...................................................................................................................103
196) ROAD ALIGNMENT: ....................................................................................................................104
197) ROAD SURFACE TYPE:..............................................................................................................104
198) TRAFFICWAY: .............................................................................................................................105
199) VEHICLE REMOVAL:...................................................................................................................106
200) VEHICLE CONDITION: ................................................................................................................106
201) SPECIAL FUNCTION OF VEHICLE: ...........................................................................................107
202) EMERGENCY VEHICLE RESPONDING TO AN EMERGENCY: ...............................................107
203) UNSAFE / UNLAWFUL CONTRIBUTING FACTORS: ................................................................108
204) POINT OF FIRST CONTACT ON VEHICLE:...............................................................................109
205) MOST DAMAGED AREA: ............................................................................................................109
ARTICLE XXVIII PAGE #4, TOP SECTION .............................................................................................110
206) CASE NUMBER: ..........................................................................................................................110
207) PG ___ OF ___:...........................................................................................................................110
ARTICLE XXIX PAGE 4, LINE 1 ..............................................................................................................111
208) LATITUDE: ..................................................................................................................................111
209) LONGITUDE:...............................................................................................................................111
210) RAILROAD CROSSING NUMBER: .............................................................................................111
211) ROADWAY ORIENTATION - UNIT:.............................................................................................112
212) ROADWAY ORIENTATION - NESW: ..........................................................................................112
213) COLLISION DIAGRAM:................................................................................................................113
ARTICLE XXX PAGE #4, COLLISION EVENTS SECTION ....................................................................116
214) UNIT: ...........................................................................................................................................116
215) FIRST EVENT: .............................................................................................................................116
216) SECOND EVENT: ........................................................................................................................117
217) THIRD EVENT:............................................................................................................................118
218) FOURTH EVENT:.........................................................................................................................119
219) MOST HARMFUL EVENT:...........................................................................................................120
220) FIRST HARMFUL EVENT FOR THE ENTIRE COLLISION: .......................................................120
221) REMARKS:..................................................................................................................................121
ARTICLE XXXI STATEMENT OF WITNESS FORM, TOP SECTION.....................................................122
14 Revised October 20, 2011
222) CASE NUMBER: ..........................................................................................................................122
223) PG ___ OF ___:...........................................................................................................................122
ARTICLE XXXII STATEMENT OF WITNESS FORM, LINE 1 .................................................................123
224) MONTH:.......................................................................................................................................123
225) DAY: ............................................................................................................................................123
226) YEAR:..........................................................................................................................................123
227) COUNTY:.....................................................................................................................................123
228) ADMINISTRATIVE: ......................................................................................................................123
ARTICLE XXXIII STATEMENT OF WITNESS FORM, LINE 2 ................................................................124
229) LAST NAME: ...............................................................................................................................124
230) SUFFIX:.......................................................................................................................................124
231) FIRST NAME: ...............................................................................................................................124
232) MIDDLE: ......................................................................................................................................124
233) DATE OF BIRTH: MM/DD/YYYY: ................................................................................................124
ARTICLE XXXIV STATEMENT OF WITNESS FORM, LINE 3................................................................124
234) ADDRESS: ..................................................................................................................................125
235) CITY:............................................................................................................................................125
236) STATE: ........................................................................................................................................125
237) ZIP CODE:...................................................................................................................................125
238) TELEPHONE NUMBER: ..............................................................................................................125
ARTICLE XXXV STATEMENT OF WITNESS FORM, WITNESS DECLARATION ................................126
239) LEGAL SIGNATURE:...................................................................................................................126
240) STATEMENT DESCRIPTION: .....................................................................................................126
241) LOCATION: .................................................................................................................................126
242) WHEN INCIDENT OCCURRED:..................................................................................................126
243) THIS STATEMENT WAS WRITTEN ON: ....................................................................................127
ARTICLE XXXVI STATEMENT OF WITNESS FORM, WRITTEN STATEMENT SECTION ..................128
ARTICLE XXXVII STATEMENT OF WITNESS FORM, OFFICER INFORMATION................................128
244) OFFICER’S RANK AND NAME:...................................................................................................128
245) TROOP OR DIVISION:.................................................................................................................128
APPENDIX A: COUNTY AND CITY NUMBERS.....................................................................................137
APPENDIX B: TWO LETTER STATE AND FOREIGN COUNTY ABBREVIATIONS ...........................134
APPENDIX C: VEHICLE MAKE ABBREVIATIONS ...............................................................................135
APPENDIX D: EXTENDED DEFINITIONS..............................................................................................137
APPENDIX E: UNIT DEFINITIONS .........................................................................................................137
APPENDIX F: ADDITIONAL CLOCK CONTACT DIAGRAMS ..............................................................144
APPENDIX G: SEQUENCE OF EVENTS - FIXED OBJECT EXAMPLES..............................................145
APPENDIX H: REPORT EXAMPLES.......................................................................................................148
APPENDIX I: GRADE CROSSING (TRAIN) COLLISION CHECKLIST..................................................181
APPENDIX J: OKLAHOMA ZIP CODES .................................................................................................182
APPENDIX K: OKLAHOMA AREA CODES BY CITY............................................................................188
APPENDIX L: SEQUENCE OF EVENTS ................................................................................................191
15 Revised October 20, 2011
APPENDIX M: ADDITIONAL INSTRUCTIONS FOR COMMERCIAL VEHILCE DATA ........................194
APPENDIX N: OKLAHOMA DRIVER LICENSE ENDORSEMENT & RESTRICTION CODES.............199
16 Revised October 20, 2011
IMPORTANCE OF DATA COLLECTION
A motor vehicle collision report includes information that describes characteristics of the events,
vehicles and persons (drivers, injured and uninjured occupants, injured pedestrians and bicyclists,
etc.) involved in the collision. Law enforcement investigates the collision at the scene and
documents the information on the collision report.
Data recorded on collision reports are computerized and merged into a central electronic collision
data file at the Department of Public Safety, Records Management Division. In addition, the
Department of Transportation, Traffic Engineering Division enhances location data.
These collision databases provide the basic information necessary for developing effective
highway and traffic safety programs. It is the most reliable way to analyze and evaluate data to
increase public awareness of highway safety issues. Data from Oklahoma’s collision data
systems are used to:
• Identify and prioritize highway and traffic safety problem areas
• Initiate and evaluate the effectiveness of laws and policies intended to reduce deaths,
injuries, injury severity and costs
• Assess the relationship between vehicle and highway characteristics, collision propensity,
and injury severity to support and evaluate countermeasures
• Draw public/media attention to a traffic safety issues and problems
• Provide justification for existing traffic safety programs or illustrate a need for new programs
• Help provide grant funding
• Communicate the importance of data
National standards used in development of the new Oklahoma Official Traffic Collision Report
(OOTCR) and Official Oklahoma Traffic Collision Report Instruction Manual (OOTCRIM) include:
(1) Model Minimum Uniform Crash Criteria (MMUCC), (2) ANSI D16.1-1996 Manual on
Classification of Motor Vehicle Traffic Accidents, 6th Edition and (3) ANSI D20-2003 Data Element
Dictionary for Traffic Records Systems.
By using these standards, Oklahoma is taking part in the traffic records and traffic safety
communities (nationally and locally) to create data that is understood through consistent
definitions and meanings. Oklahoma’s collision report data provide information for national
collision information systems, either as the sampling frame or as a source of data. Data from
these national systems are utilized in highway safety decision making by agencies at all levels of
government and the private sector such as the automobile industry.
Collisions result in an economic cost of increased insurance rates, increased medical expenses,
loss of property, loss of life and loss of personal income. They produce a drain on law
enforcement in both time and money, and pose a personal risk to every driver, passenger and
pedestrian in Oklahoma.
Your efforts in accurately collecting and reporting collision data will help immeasurably.
17 Revised October 20, 2011
Article I. Collision Report Protocols
Collision report forms are available from the Department of Public Safety or may be printed from
the following website: www.dps.state.ok.us. Adobe Acrobat version 7.0 or above is required.
The DPS records Management Division is not authorized to change an officer’s report. Therefore,
it is imperative that delayed fatality collisions are updated and resubmitted within two weeks of
notification of the fatality. If a person expires within thirty (30) days of the collision as a result of
injuries sustained in the collision, it shall be counted as a traffic fatality, and a revised report shall
be submitted.
The mailing address for collision reports that are not submitted electronically is:
Department of Public Safety
Records Management Division
P. O. Box 11415
Oklahoma City, OK 73136
Collision Report Forms – The pages are as follows:
1. Collision Report - DPS: 0192-01 REV 0107 (-01through -04) (4 pages total)
2. Persons Supplemental - DPS: 0192- SUPP01 REV 0107 (1 page)
3. Diagram Supplemental - DPS: 0192- SUPP02 REV 0107 (1 page)
4. Additional Narrative - DPS: 0192- SUPP03 REV 0107 (1 page)
5. Statement of Witness - DPS: 0192- SUPP04 REV 0107 (1 page)
This section of the Manual will provide general guidelines concerning the completion of the
collision report forms. The guidelines cover procedures and recommendations that should be
used when completing all forms and parts of the collision report.
Throughout the report, “0” or “00” indicate Not Applicable, and ���9” or “99” denote Unknown. All
data sections must have data entered unless otherwise specified.
Data Section – A data section may consist of a data box, a data block, a data block group, an
unstructured data box or a combination of these elements.
Data Box – Some data sections contain individual square(s) designed for indicating an item by
placing an “X” inside it. “X” is the only acceptable entry in these data sections.
18 Revised October 20, 2011
Data Block – Some data sections contain an individual block designed to receive one
alphanumeric character of information.
Data Block Groups – Some data sections contain a group of data blocks.
1. Alphanumeric characters must stay within blocks.
2. Use of capital block letters is required.
3. All boxes are left to right entry beginning in far left.
4. No hyphens/dashes are allowed in any of the data boxes, except for data sections that
allow agency preferences, i.e. Section 10-CASE NUMBER.
Unstructured Data Box – An open field with no data blocks. Neat capital block letters are
required.
Writing Tools – Typewritten or computer generated forms are preferred. If the form is
handwritten, use a black ballpoint or roller-ball pen. The form must be completed in black ink.
Pencils are not allowed, except in the diagram.
Writing Example – Figure Writing Example-1 is an example of the optimal block handwriting for
the form.
Writing Example-1
19 Revised October 20, 2011
Justification – All entries are left justified except where specifically noted.
White-out or correction tape – The use of white-out or correction tape is discouraged. If used, it
is to be used sparingly and neatly. Do not obscure any data.
The Department of Public Safety (DPS) provides two types of forms: a pre-printed form for
handwritten entry and a computer fillable form in PDF format. The pre-printed form can be
obtained from the DPS Supply Division. The computer fillable PDF form can be downloaded from
the DPS web site at www.dps.state.ok.us.
A typewritten or computer generated form shall not contain any handwritten entries except in
Section 213-DIAGRAM or the SUPPLEMENTAL DIAGRAM.
A handwritten form shall not contain any typewritten or computer generated entries except in
Section 213-DIAGRAM or the SUPPLEMENTAL DIAGRAM.
Data sections that are not required for an additional unit shall be left blank, i.e. a collision
containing an odd number of units.
Data sections that are not required for witnesses, property owners or additional occupants shall be
left blank.
For each individual data section, incomplete information shall be considered UNKNOWN. List
partial information in Section 221-REMARKS. Example: Partial License Plate Number.
In an official Work Zone, the closed portion of a roadway is considered to be off roadway.
20 Revised October 20, 2011
Article II. Official Oklahoma Traffic Collision Report
DPS: 0192-01 REV 1209
Article III. Page #1, Top Section
A. DO NOT WRITE IN THIS SPACE:
This space is reserved for use by the Department of Public Safety for assignment of the official identification
number designating each individual report.
1) PG ___ OF ___:
a) This data section shall not be left blank.
b) List each page in relation to the total number of pages of the COMPLETE report. Every collision report shall
be a minimum of four (4) pages. Each side of a single sheet counts as one page.
i) There shall be a minimum of four (4) pages for every two units involved in the collision.
ii) For printed reports, duplex format (printing on both sides of each sheet) is preferred.
c) The collision report shall be sequenced as follows:
i) Pages for units involved in the collision (Example: Unit 1 & Unit 2 information shall consist of pages 1
through 4, Unit 3 information shall consist of pages 5 through 8, etc.).
ii) Persons Supplemental after all the unit pages
iii) Diagram Supplemental
iv) Additional Narrative
v) Statement of Witness
d) “Statement of Witness” forms shall be numbered in sequence, if submitted to the Department of Public Safety.
e) TraCS and CRS collision reports shall not include witness statements when submitted to the Department of
Public Safety. Describe in Section 221-REMARKS where witness statements were stored if they were
completed.
21 Revised October 20, 2011
2) INCIDENT REPORT:
a) This data section shall not be left blank.
b) Indicate “Y” to make a written record and report of an incident involving a motor vehicle. Indicate “N” if the
occurrence being reported is not an incident.
i) Private property, suicide, legal intervention, TVI (Tactical Vehicle Intervention), vehicle weaponry, burned
vehicles (vehicles that catch fire after complete cessation of movement), machinery, deliberate intent,
industrial, medical condition, and other investigations that are NOT CHARGEABLE TRAFFIC
COLLISIONS shall require a report.
ii) An incident can be an injury or damage producing event resulting when a driver dies, loses
consciousness or control of the vehicle because of a medical condition such as a stroke, heart attack,
diabetic coma, epileptic seizure, etc. In such case the immediate effect of the disease, such as the
driver's death, loss of consciousness or control is not itself considered to be an injury resulting from the
collision.
iii) Damage due to cataclysm (cyclone, earthquake, flood, hurricane, tidal wave, tornado, volcanic eruption,
hail, lightning, etc.) SHALL NOT be reported.
iv) A collision between a train and a pedestrian, bicyclist, animal, etc. that does not include a motor vehicle is
considered to be an incident. Any collision involving a train on private property is an incident, regardless
of motor vehicle involvement.
3) INVESTIGATION COMPLETED:
a) This data section shall not be left blank.
b) Indicate “Y” if the investigation is complete at the time the report is made.
c) Indicate “N” for an incomplete investigation when the investigating officer is aware of pertinent information that
has not yet been documented, i.e. hit and run, blood test results, etc.
4) INVESTIGATION MADE AT SCENE:
a) This data section shall not be left blank.
b) Indicate “Y” if the officer investigated the collision at the scene.
c) Indicate “N” if the officer did not investigate the collision at the scene, i.e. information taken by officer
somewhere other than the scene of the collision.
22 Revised October 20, 2011
5) PHOTOGRAPHS:
a) This data section shall not be left blank.
b) Indicate “Y” or “N” to show whether or not photographs were taken for the reporting agency’s investigative
purposes.
c) If ANY photographs were taken for the purpose of the reporting agency’s investigation, identify the
photographer who has possession of the photographs and where they are stored in Section 221-REMARKS.
6) REVISED REPORT:
a) This data section shall not be left blank.
b) Indicate “Y” when a follow-up or corrected report is submitted, so the original report and the corresponding
revised report can be correctly associated. Otherwise indicate “N” on the report.
c) When submitting a revised report to the Department of Public Safety, all pages including the corrected
information shall be submitted.
7) FATALITY:
a) This data section shall not be left blank.
b) Indicate “Y” if one or more persons were killed in the collision. Otherwise indicate “N” on the report.
c) If a person expires within thirty (30) days of the collision as a result of injuries sustained in the collision, it shall
be counted as a traffic fatality, and a revised report must be submitted to the Department of Public Safety.
8) HIT AND RUN:
a) This data section shall not be left blank.
b) Indicate “Y” or “N” to show whether or not the collision was a hit and run.
c) A hit and run refers to cases where the unit or the operator of the unit in transport is a contact unit in the
collision and departs the scene without stopping to render aid or report the collision.
d) A non-contact unit is not considered a hit and run unit.
23 Revised October 20, 2011
Article IV. Page #1, Line 1
9) REPORTING AGENCY:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the agency submitting the report, i.e., Lawton Police Department; McClain
County Sheriff's Office; Oklahoma Highway Patrol; University of Oklahoma Police Department.
ABBREVIATIONS OF CITY OR COUNTY NAMES ARE NOT ACCEPTABLE.
c) You may abbreviate the agency type, i.e. Police Department as P.D., Sheriff’s Office as S.O., etc. Do not use
OHP for Oklahoma Highway Patrol.
10) CASE NUMBER (AGENCY USE):
a) This data section shall not be left blank by the OHP.
b) Fill out the case number as your agency requires.
i) OHP troopers shall enter a nine-digit or a ten-digit case number that consists of the Troop designator, the
Troop collision number and the two-digit year. Examples: “B00001-10” or “XA00001-10”.
c) The case number must be the same on every page of the report.
11) MOTOR VEHICLES INVOLVED:
a) This data section shall not be left blank.
b) Enter the number of motor vehicle(s) that had actual physical contact with another unit or object. AIRCRAFT,
WATERCRAFT, BICYCLES, TRAINS and PEDESTRIANS are not motor vehicles and shall not be counted as
motor vehicles in this data section. Include a leading zero for quantities 0 through 9.
c) For the purpose of this data section only, implements of husbandry, machinery, army tanks, and special
motorized devices (go-carts, snowmobiles, riding lawn mowers, three-wheelers, and four-wheelers) which by
design may not be registered or licensed for road use are considered to be motor vehicles and shall be
included in the total number of motor vehicles involved.
d) The term motor vehicle as applied to a traffic unit refers to the complete traffic unit of which the motor vehicle
is a part and includes any vehicle or trailer (including their loads) being pushed or towed by the motor vehicle.
If any part of a traffic unit of this type is involved in a collision to the extent of inflicting/receiving injury or
24 Revised October 20, 2011
damage to/upon any person or property, the motor vehicle doing the hauling, pushing, or towing is considered
as the traffic unit and should be shown as such. (ANSI D16 1-1996, sections 2.2.7 through 2.2.26)
e) If a driverless, towed vehicle or a driverless, pushed vehicle is damaged, describe this vehicle in the Remarks
Section, i.e., color, year, make, model, VIN, license tag. Example: If a motor vehicle is towing another vehicle
and the towed vehicle inflicts or receives injury or damage, the motor vehicle doing the towing would be
considered as the actual unit in the collision. This applies even though the towed vehicle might have become
detached prior to the actual impact if the towed vehicle is still moving under impetus from the motor vehicle
doing the towing.
f) If the towed or pushed vehicle is occupied by a driver who is controlling the vehicle, this unit would be listed
as a separate unit in and of itself and would be shown in the appropriate Unit section of the Collision Report
Form.
g) Do not include non-contact vehicles. Non-contact vehicles may or may not be recorded on collision reports.
Information about a non-contact vehicle may be recorded for legal purposes, but such vehicles are not
counted for statistical purposes.
12) NUMBER INJURED:
a) This data section shall not be left blank.
b) Enter “00” if no person was injured.
c) Enter the total number of persons known to be injured in the collision.
i) Include a leading zero for quantities 0 through 9.
ii) Injured persons are those who have an injury severity of: 2) Possible, 3) Non-incapacitating or 4)
Incapacitating.
iii) Do not count fatalities.
d) For purposes of THIS DATA SECTION an unborn child that is injured as a result of a traffic collision is not to
be included in the number injured. List this occurrence in Section 221- REMARKS.
13) NUMBER KILLED:
a) This data section shall not be left blank.
b) Enter “00” if no person was killed.
c) Enter the total number of persons killed.
i) If a person expires within thirty (30) days of the collision as a result of injuries sustained in the collision, it
is counted as a traffic fatality.
ii) Included a leading zero for quantities 0 through 9.
iii) Fatalities are persons who have an injury severity of 5) Fatality.
d) For purposes of THIS DATA SECTION an unborn child that ceases to live as a result of a traffic collision is
not to be included in the number killed. List this occurrence in Section 221- REMARKS.
Article V. Page #1, Line 2
25 Revised October 20, 2011
14) DATE:
a) This data section shall not be left blank.
b) Enter the month, day and year of the date the collision occurred. Enter in a two-digit Month (01-12), two-digit
Day (01-31), and a four-digit year. Do not include spaces, hyphens or any other separators. Example:
04082007.
c) Enter the date the collision was reported or discovered, if the exact date the collision occurred is unknown.
Explain the circumstances in Section 221-REMARKS.
15) TIME:
a) Enter the time of day the collision occurred using 24-hour military time. Example: 0720, 1930. See Table 15-
1. Do not use a colon or any other separator.
b) Enter “9999” if not using TraCS or CRS and the exact time the collision occurred is unknown.
c) Leave this data section blank if using TraCS or CRS and the exact time the collision occurred is unknown.
TraCS and CRS will convert the blank to “9999” in the displayed or printed PDF.
d) Explain the circumstances of an unknown time of collision in Section 221-REMARKS.
26 Revised October 20, 2011
Time
MILITARY TIME
(Midnight to noon)
12 HOUR TIME
(Midnight to noon)
MILITARY TIME
(Noon to midnight)
12 HOUR TIME
(Noon to midnight)
0000
MIDNIGHT
1200
NOON
0001
One minute after midnight
1201
One minute after noon
0015
Fifteen minutes past midnight
1215
Fifteen minutes past noon
0045
45 minutes past midnight
After noon, add the hour and minute to 1200
0100
One o’clock in the morning
1300 (Add 100 to 1200)
1 p.m.
0130
One thirty in the morning
1345 (Add 145 to 1200)
1:45 p.m.
0200
2 a.m.
1400 (Add 200 to 1200)
2 p.m.
0300
3 a.m.
1500 (Add 300 to 1200)
3 p.m.
0400
4 a.m.
1600 (Add 400 to 1200)
4 p.m.
0500
5 a.m.
1700 (Add 500 to 1200)
5 p.m.
0600
6 a.m.
1800 (Add 600 to 1200)
6 p.m.
0700
7 a.m.
1900 (Add 700 to 1200)
7 p.m.
0800
8 a.m.
2000 (Add 800 to 1200)
8 p.m.
0900
9 a.m.
2100 (Add 900 to 1200)
9 p.m.
1000
10 a.m.
2200 (Add 1000 to 1200)
10 p.m.
1100
11 a.m.
2300 (Add 1100 to 1200)
11 p.m.
Blank (TraCS and CRS) Unknown
9999 (All other reports) Unknown
Table 15-1
16) COUNTY NUMBER:
a) This data section shall not be left blank.
b) Enter the county number of the county in which the first injury or damage producing event occurred. (See
Appendix A)
17) COUNTY NAME:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the county in which the first injury or damage producing event occurred. NO
ABBREVIATIONS. (See Appendix A)
18) IN / NEAR CITY:
a) This data section shall not be left blank.
b) Indicate “In” when the collision occurs within the city/town limits.
c) Indicate “Near” when the collision occurs outside the city/town limits.
27 Revised October 20, 2011
d) If the collision occurs on or near a boundary line, assign the collision to the area in which the first injury or
damage producing event occurred.
19) CITY / TOWN NUMBER:
a) This data section shall not be left blank.
b) Enter “00” for the city/town number if the collision occurred outside the city/town limits.
c) Enter the city/town number if the collision occurred within the city/town limits. (See Appendix A)
20) CITY / TOWN NAME:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the city/town in or near the collision location. If the collision occurs outside a
city/town limits, the nearest city/town may be in a different county. (See Appendix A) NO ABBREVIATIONS.
Article VI. Page #1, Line 3
21) DISTANCE FROM CITY / TOWN:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter the distance North or South from the municipal limits of the city/town listed in Section 20-CITY/TOWN
NAME if the collision occurred outside the city/town limits.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
28 Revised October 20, 2011
22) MILES / FEET:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 21-DISTANCE FROM
CITY/TOWN, if the collision occurred outside a city/town limits.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
23) N-S:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter “N” or “S” to indicate the direction from the nearest city/town limits, if the collision occurs outside the
city/town listed in Section 20-CITY/TOWN NAME.
24) DISTANCE FROM CITY / TOWN:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter the distance East or West from the municipal limits of the city/town listed in Section 20-CITY/TOWN
NAME if the collision occurred outside the city/town limits.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
Examples:
“2.4 Miles North and 1.0 Mile East”
29 Revised October 20, 2011
“120 Feet South”
25) MILES / FEET:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 21-DISTANCE FROM
CITY/TOWN, if the collision occurred outside a city/town limits.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
26) E-W:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter “E” or “W” to indicate the direction from the nearest city/town limits, if the collision occurs outside the
city/town listed in Section 20-CITY/TOWN NAME.
27) CONTROL NUMBER:
FOR STATE AND U.S. HIGHWAYS ONLY (Reference Point System)
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00” if the control number does not apply or if the collision occurred within city/town limits.
30 Revised October 20, 2011
d) Enter the control number, if applicable.
i) The reference point system calls for placement of primary markers along the rural, state, and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Primary markers are signs which identify the county, the control section, and the log mile from the
beginning of the control section. They are structured with three tiers of numbers that are ordered in three
rows.
(1) Top Row –County Number – Whole number matching the county list in Appendix A.
(2) Middle Row – Control Section Number.
(3) Bottom Row – Mile Post – Denotes the distance in miles from the beginning of the control section.
iii) Primary markers are placed at
(4) Intersections where county roads intersect with state highways or U.S. highways on the back of stop
signs or some other permanent fixture at that intersection.
(5) Each approach to bridge structures.
iv) Primary markers begin with “zero mile” point at the beginning of control section and progress generally to
the east or north depending on the orientation of the highway.
28) INT ID:
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00” if the intersection ID number does not apply or if the collision occurred within a city/town limits.
d) Enter the intersection ID number, if applicable.
i) The reference point system calls for placement of Intersection markers along the rural, state and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Intersection markers are used to identify the intersection of two state highways, two U.S. highways or a
state and a U.S. highway. They are structured with two tiers of numbers that are ordered in two rows.
(1) Top Row – County Number – Whole number matching the county list in Appendix A.
(2) Bottom Row – Intersection Number – Denotes the intersection number.
iii) Intersection markers are found only at applicable intersections and are not usually on tall signs (like stop
signs), but are on short signs in the ground.
29) LOCATION:
31 Revised October 20, 2011
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00.00” if the location number does not apply or if the collision occurred within a city/town limits.
d) Enter the location number, if applicable.
i) The reference point system calls for placement of primary markers along the rural, state, and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Primary markers are signs which identify the county, the control section, and the log mile from the
beginning of the control section. They are structured with three tiers of numbers that are ordered in three
rows.
(1) Top Row –County Number – Whole number matching the county list in Appendix A.
(2) Middle Row – Control Section Number.
(3) Bottom Row – Mile Post – Denotes the distance in miles from the beginning of the control section.
iii) Primary markers are placed at
(1) Intersections where county roads intersect with state highways or U.S. highways on the back of stop
signs or some other permanent fixture at that intersection.
(2) Each approach to bridge structures.
iv) Primary markers begin with “zero mile” point at the beginning of control section and progress generally to
the east or north depending on the orientation of the highway.
v) When reporting the collision location using a primary marker, the location number will be as shown on the
marker if the collision occurs within a 250 foot radius of the primary marker.
vi) If the collision occurs more than 250 feet from the marker, the location number is determined by adding or
subtracting to/from the log mile on the primary marker.
Example:
Log Mile 5.00
Subtract Distance to Marker (0.30)
Location 04.70
30) COUNTY SECTION LINE GRIDS (East Grid):
a) This data section shall not be left blank by the OHP.
b) The use of grid locations is determined by individual agency policy and may be left blank for agencies other
than the OHP.
c) Enter the East grid number.
i) East grid lines are assigned odd numbers.
ii) The grid number starts in the real or imaginary southwest corner of each map. Use the nearest tenth of a
mile in recording the grid locations.
32 Revised October 20, 2011
31) COUNTY SECTION LINE GRIDS (North Grid):
a) This data section shall not be left blank by the OHP.
b) The use of grid locations is determined by individual agency policy and may be left blank for agencies other
than the OHP.
c) Enter the North grid number.
i) North grid lines are assigned even numbers.
ii) The grid number starts in the real or imaginary southwest corner of each map. Use the nearest tenth of a
mile in recording the grid locations.
32) ADMINISTRATIVE:
Figure 30-1
Figure 31-1
33 Revised October 20, 2011
a) This data section shall be left blank. This space is reserved for administrative purposes.
Article VII. Page #1, Line 4
33) STREET, ROAD OR HIGHWAY:
a) This data section shall not be left blank.
b) Enter the official name or number of the street or highway where the collision occurred.
i) When two Interstate highways travel the same route, use the lowest numbered Interstate number.
ii) When an Interstate highway and a U.S. highway travel the same route, use the Interstate number.
iii) When two or more U.S. highways travel the same route, use the lowest numbered U.S. highway.
iv) When a U.S. highway and a state highway travel the same route, use the U.S. highway number.
v) When two or more State Highways travel the same route, use the lowest numbered state highway.
vi) When the collision occurs on a county road, enter "COUNTY ROAD" and any assigned identifying name
or number in parenthesis after COUNTY ROAD, if known.
Example: COUNTY ROAD (ROSS ROAD)
COUNTY ROAD (EW 117)
vii) In the event the collision occurs on a named or numbered street and the roadway is also designated as a
federal or state highway. If possible, indicate the name of the street in parenthesis after the highway
number.
Example: SH66 (Second Street).
viii) Enter “PRIVATE PROPERTY” if the collision is not on a public street, public road or public highway
ix) For reporting purposes, public roadways include those in private developments and gated communities,
etc. that allow public access of the roadway.
x) The following abbreviations are acceptable in this data section:
(1) “SH” for State Highway (Example: SH33)
(2) “US” for United States Highway (Example: US75)
(3) “I” for Interstate (Example: I35)
(4) “TP” for Turnpike (Example: Turner TP)
34) AT:
a) Indicate “At” when the collision occurs in an intersection or on private property at a specific address. This
does not include a collision which occurs beneath an overpass or above an underpass.
b) For the purpose of the report, an intersection is defined as an area which
i) Contains a crossing or connection of two or more roadways not classified as driveway access and
34 Revised October 20, 2011
ii) Is embraced within the prolongation of the lateral curb lines or, if none, the lateral boundary lines of the
roadways.
c) Where the distance along multiple roadways between two areas meeting these criteria are less than 10
meters (33 feet), the two areas and the roadways connecting them are considered to be parts of a single
intersection.
d) For reporting purposes, public roadways include those in private developments and gated communities, etc.
that allow public access of the roadway.
Figure 34-1
35 Revised October 20, 2011
35) DISTANCE FROM INTERSECTING STREET, ROAD OR HIGHWAY:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Enter the distance from the nearest intersecting street, road, highway, etc. if the collision did not occur “At” an
intersection and the collision did not occur on private property “At” a specific address.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
c) NOTE: The distance should match your reported POI or AOI in the Section 221-REMARKS.
36) MILES / FEET:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 35-DISTANCE FROM
INTERSECTING STREET, ROAD OR HIGHWAY, if the collision did not occur “At” an intersection or the
collision did not occur on private property “At” a specific address.
37) N-S, E-W:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Indicate “N”,”S”, “E”, “W” or “NE”, “NW”, “SE” or “SW” from the nearest intersection or roadway, if the collision
did not occur “At” an intersection or the collision did not occur on private property “At” a specific address.
38) (NEAREST) INTERSECTION STREET, RD OR HIGHWAY:
a) This data section shall not be left blank.
b) Enter the official name of the intersecting street or highway if the collision occurred “At” an intersection.
i) Enter “COUNTY ROAD” and any assigned identifying name or number in parenthesis after COUNTY
ROAD, if known, when the intersecting street or road is a county road.
Example: COUNTY ROAD (ROSS ROAD)
COUNTY ROAD (EW 117)
36 Revised October 20, 2011
c) Enter the name of the nearest intersecting street or highway, if the collision WAS NOT in an intersection.
Mile markers and identification numbers of bridges, overpasses, and underpasses on interstates and
turnpikes are permissible.
i) For this data section, do not use serialized utility pole numbers.
ii) For private property collisions:
(1) Enter the address of the property, if known.
(2) Enter the nearest public street, road or highway, if address is unknown.
d) For reporting purposes, public roadways include those in private developments and gated communities, etc.
that allow public access of the roadway.
e) The following abbreviations are acceptable in this data section:
i) “SH” for State Highway (Example: SH33)
ii) “US” for United States Highway (Example: US75)
iii) “I” for Interstate (Example: I35)
iv) “TP” for Turnpike (Example: Turner TP
Article VIII. Page #1, Line 5
39) UNIT:
a) This data section shall not be left blank.
b) Units shall be listed sequentially beginning with non-contact units, if any are involved, followed by contact
units.
i) Non-contact units shall be labeled sequentially “A”, “B”, etc. (include a leading zero for all non-contact
units).
ii) Contact units shall be labeled “1” to “99” (include a leading zero for contact units numbered “1” to “9”).
iii) Entry of a leading zero is not required for any unit, if using TraCS or CRS.
iv) The number or letter assigned to the unit has no meaning other than identification.
c) Definitions of Contact and Non-Contact unit.
i) Contact unit: A contact unit is any unit that comes into contact with one or more units, or property in a
collision. A contact unit is directly involved in a collision. An example of a contact unit is:
(1) If a vehicle is carrying a load, the load is considered to be part of the vehicle. If the load shifts or falls
off the vehicle and strikes another vehicle, the vehicle with the load is a contact unit.
ii) Non-contact unit: A non-contact unit is any unit other than a contact unit that contributes (directly or
indirectly) to the collision. Some examples of a non-contact unit are:
(1) A vehicle changes lanes into the path of another vehicle (without making contact) causing a collision.
The vehicle changing lanes is a non-contact unit.
(2) A pedestrian darts into the roadway causing a motor vehicle to stop suddenly without striking the
pedestrian. A following vehicle swerves to avoid the stopped vehicle and collides with a fixed object.
The first vehicle and the pedestrian are non-contact units.
37 Revised October 20, 2011
40) OCCUPANTS:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “P”, “X” or “A” or
(1) A pedestrian conveyance “X” is not a transport vehicle (ANSI D16.1 Section 2.1.3, Edition 2007).
ii) Section 41-UNIT TYPE is “D”, “C” or “T” and there are no occupants.
c) Enter “99” if the number of persons in or on the unit is unknown.
d) Enter “1” through “97” to indicate the number of persons in or on the unit, including the driver if Section 41-
UNIT TYPE is “D”, ”B”, “Z”, “C”, or “T”. Include a leading zero for quantities 1 through 9.
e) Enter “98” if the number of persons in or on the unit exceeds ninety-seven, including the driver if Section 41-
UNIT TYPE is “D”, “B”, “Z”, “C”, or “T”. List the exact number of persons in Section 221-REMARKS.
Transport vehicle (ANSI D16.1 Section 2.1.4, Edition 2007): A transport vehicle consists of one or more
devices or animals and their load. Such devices or animals must include at least one of the following:
a. a transport device, or a unit made up of connected transport devices, while idle or in use for moving
persons or property from one place to another,
b. an animal or team of animals while in use for moving persons or property other than the animal or team
itself from one place to another, or
c. a movable device such as construction, farm, or industrial machinery outside the confines of a building
and its premises while in use for moving persons, the device itself, or other property from one place to
another.
If such a device or animal has a load, the load is part of that transport vehicle. Loads include:
— persons or property upon, or set in motion by, the device or animal
— persons boarding or alighting from the device or animal
— persons or property attached to and in position to move with the device or animal
If the load upon a transport device includes another transport device, the entire unit including the load is
considered to be a single transport vehicle. With the exception of the following:
— Pickup truck while being used to power a saw
— Dump truck while spreading its load
— Tow truck while using its winch
— Jeep while pulling a device picking up golf balls
— Transit-mix concrete truck while discharging its load
— Dump truck while plowing snow
— And others
38 Revised October 20, 2011
41) UNIT TYPE:
a) This data section shall not be left blank.
b) Enter the appropriate unit type into the data box.
i) D - Driver - A driver unit is a transport vehicle that has an occupant who is in actual physical control or, for
an out-of-control vehicle, had an occupant who was in control until control was lost.
(1) A disabled, stopped or parked transport vehicle on the roadway is a “D” unit, whether occupied or
unoccupied.
(2) A working vehicle stopped on or off the roadway is a “D�� unit, whether occupied or unoccupied. An
extended definition of a working vehicle is in Appendix D.
ii) P - Pedestrian - Any person afoot. For an example of a filled collision report involving a pedestrian, see
Appendix H. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s
name and address in vehicle owner’s section (Sections 96-103).
iii) X - Pedestrian Conveyance – A pedestrian conveyance is a device, other than a transport device, used
by a pedestrian for personal mobility assistance or recreation. These devices can be motorized or human
powered, but not propelled by pedaling (ANSI-D16.1, 2.2.6.1). Examples would be a Segway or other
scooter. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s name
and address in vehicle owner’s section (Sections 96-103).
iv) B - Bicyclist - A device propelled by pedaling upon which one or more person(s) may ride, having two
tandem wheels. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s
name and address in vehicle owner’s section (Sections 96-103).
v) Z - Other Cyclist – A device propelled by pedaling upon which one or more person(s) may ride, having
other than two wheels. In the case of a minor (17 years of age or younger), list the parent’s or legal
guardian’s name and address in vehicle owner’s section (Sections 96-103).
vi) C - Parked Car – A motor vehicle not in transport, other than a working vehicle, that is not in motion and
not located on the roadway. (ANSI D16.1, Section 2.2.34.2, Edition 2007). An extended definition of
working vehicle may be found in Appendix D. For an example of a filled collision section with parked car,
see Appendix H.
(1) A “C” unit is a legally or illegally parked unit that is not on the roadway.
(2) A “D” unit is a legally or illegally parked unit on the roadway.
vii) A - Animal - A collision involving an animal that is not occupied. For an example of a filled collision
section with animal, see Appendix H.
(1) A collision with an animal may or may not be an incident.
(2) A report must be completed if there is five hundred dollars ($500.00) or more in total property
damage; OR personal injury resulting from a collision with an animal.
(3) This section applies to both domestic and wild animals.
viii) T - Train - A steam engine, diesel, electric or other motor, with or without cars coupled thereto, operated
upon rails, except streetcars on trafficway. For example of a filled collision section with a train, see
Appendix H.
39 Revised October 20, 2011
(1) A high rail car or railway maintenance vehicle operated on rails shall be designated as a train.
(a) A high rail car is a vehicle equipped with tire and rail wheels which can be operated on roads or
rails.
(b) Note in Section 221-REMARKS if the unit is a high rail car or railway maintenance vehicle.
(2) The conductor is in charge of the train while it is operating, therefore his/her information shall be
recorded in Sections 122-151.
42) HIT & RUN:
a) This data section shall be left blank if this is not a hit and run unit, or if Section 41-UNIT TYPE is “A”.
b) Indicate if this is a hit and run unit, if Section 41-UNIT TYPE is “D”, “P”, “X”, “B”, “Z”, “C” or “T”.
i) For reporting purposes, a non-contact vehicle cannot be a hit and run unit.
ii) If the driver leaves or abandons the vehicle at the scene of the collision, it is still a hit and run unit.
43) COMMERCIAL MOTOR VEHICLE:
a) This data section shall be left blank if the unit is not a commercial motor vehicle or Section 41-UNIT TYPE is
“P”, “X”, “B”, “Z”, ‘A”, “T”.
b) Indicate if this unit is a commercial motor vehicle, if Section 41-UNIT TYPE is “D” or “C”.
c) A Commercial Motor Vehicle is defined as a vehicle used for commerce/business and has a GVWR/GCWR in
excess of 10,000 lbs., or is required to have a hazmat placard, or is a bus with seating for nine or more
including the driver. The definition of a Commercial Motor Vehicle is not dependent on the license plate
displayed on the vehicle.
GVWR - Gross Vehicle Weight Rating - The GVWR is the rating issued by the vehicle manufacturer and is the
combination of the vehicles actual weight and the maximum recommended cargo weight.
The GVWR of a vehicle can be located on most single unit or powered vehicles on a manufacturer’s
plates or on the Nader sticker.
The vehicle registration certificate IS NOT an appropriate source of the GVWR. The weight recorded
on the registration certificate is the legal registered combined weight of the vehicle.
GCWR – Gross Combination Weight Rating - The GCWR is the combination of GVWRs from two or more
vehicles which include the tow vehicle and the vehicles being towed.
This is the combination of the GVWR’s of the towing and towed vehicles. In the absence of a GCWR
specified by the shipper, GCWR should be determined by adding the GVWR of the power (towing)
unit and the total weight of the towed unit(s) and any load thereon.
Generally, a single (straight) truck has a GVWR; any combination of trucks and trailers has a GCWR,
the manufacturer’s Gross Vehicle Weight Rating for the trailer or trailers combined.
40 Revised October 20, 2011
44) LAST NAME:
a) This data section shall not be left blank.
b) Enter “UNKNOWN” if
i) The last name is unknown and Section 41-UNIT TYPE is “D”, “B”, “Z”, “P”,“X”, “C”, “T” or
ii) The type of animal(s) is unknown and Section 41-UNIT TYPE is “A”.
c) Enter the Last Name of the driver, if known, and Section 41-UNIT TYPE is “D”, “B”, “Z” or “C”.
i) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, then enter the changed name.
ii) Enter the last name of the person responsible for parking the unit listed in Section 39-UNIT if the unit is
parked.
d) Enter the Last Name of the pedestrian, if known, and Section 41-UNIT TYPE is “P” or “X”.
e) Enter the type and number of animal(s), if known, and Section 41-UNIT TYPE is “A”.
f) Enter the Last Name of the engineer, if known, and Section 41-UNIT TYPE is “T”.
g) If using TraCS or CRS, enter the first 20 characters of the Last Name in this data section. Document the
complete last name in the Section 221-REMARKS, if additional space is needed.
45) FIRST NAME:
a) Leave this data section blank if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) First Name is unknown.
b) Enter the First Name of the person listed in Section 44-LAST NAME, if known.
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
46) MIDDLE:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Middle Name is unknown or nonexistent.
b) Enter the Middle Name(s) of the person listed in Section 44-LAST NAME, if known.
41 Revised October 20, 2011
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
47) SUFFIX:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Suffix is unknown or nonexistent.
b) Enter the Suffix (Jr., Sr., III, etc.) of the person listed in Section 44-LAST NAME, if known. Do not enter titles
such as Mr., Mrs., Ms., etc.
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
d) The suffix shall be entered after the Middle Name (Section 46-MIDDLE) if no suffix data section is available.
48) DATE OF BIRTH: MM/DD/YYYY:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is ���A” or
iii) Date of Birth is unknown.
b) Enter the month, day and year of birth of the person listed in Section 44-LAST NAME. Enter in a two-digit
Month (01-12), two-digit Day (01-31) and a four-digit Year. Do not include spaces, hyphens or any other
separators. Example: 04082007.
49) DRIVER’S SEX:
a) Leave this data section blank if Section 41-UNIT TYPE is “A”.
b) Enter “9” if the sex of the person listed in Section 44-LAST NAME is unknown.
c) Enter “M” or “F” to indicate the sex of the person listed in Section 44-LAST NAME.
42 Revised October 20, 2011
Article IX. Page #1, Line 6
50) ADDRESS:
a) This data section shall not be left blank.
b) Enter “UNKNOWN” if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Address is unknown.
c) Enter the correct and current address of the person listed in Section 44-LAST NAME, if known.
i) Enter the railroad company address of the engineer’s employer if Section 41-UNIT TYPE is “T”.
d) Enter the color and weight of the animal(s) if Section 41-UNIT TYPE is “A”.
51) CITY:
a) Leave this data section blank if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) City is unknown.
b) Enter the correct and current city of the person listed in Section 44-LAST NAME, if known.
i) Enter the railroad company city if Section 41-UNIT TYPE is “T”.
ii) Abbreviations are not allowed.
52) STATE:
a) Leave this data section blank if Section 41-UNIT TYPE is “A”.
b) Enter “99” if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) State is unknown.
c) Enter the correct and current state abbreviation of the person listed in Section 44-LAST NAME, if known (See
Appendix B).
43 Revised October 20, 2011
i) Enter the railroad company state if Section 41-UNIT TYPE is “T”.
ii) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
iii) Enter “CN” if Canadian province is unknown.
iv) Enter “MX” if Mexican state is unknown.
d) Enter “98” for countries other than U.S., Canada and Mexico and explain in the Section 221-REMARKS.
53) ZIP CODE:
a) Leave this data section blank if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Address is not in the U.S. or
iv) Zip Code is unknown.
b) Enter the five digit ZIP code for a U.S. address, if known.
i) Enter the railroad company zip code if Section 41-UNIT TYPE is “T”.
ii) A list of Oklahoma ZIP codes is provided in Appendix J.
54) TELEPHONE NUMBER:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “A” or
ii) The person listed in Section 44-LAST NAME does not have a phone number or
iii) The person listed in Section 44-LAST NAME resides outside the U.S.
b) Enter “9” in the far left of the data section if telephone number is unknown.
c) Enter the telephone number of the person listed in Section 44-LAST NAME including the area code.
i) Enter the telephone number of the railroad company if Section 41-UNIT TYPE is “T”.
ii) A list of area code prefixes for Oklahoma cities is provided in Appendix K.
iii) Do not enter spaces, hyphens or any other separators.
Article X. Page #1, Line 7
44 Revised October 20, 2011
55) DRIVER LICENSE NUMBER:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
b) Enter “0” if the far left of the data section if Section 41-UNIT TYPE is “D” or “C” and
i) Person listed in Section 44-LAST NAME does not have a driver license or a set-up number or
ii) Person listed in Section 44-LAST NAME is not required to have a driver license.
c) Enter “9” in the far left of the data section if driver license number is unknown.
d) Enter the driver license or set-up number, if Section 41-UNIT TYPE is “D” or “C”, and the number is known.
i) Do not use Social Security Number (unless same as driver license number), State ID or any other
number.
ii) Enter the driver license number if the person listed in Section 44-LAST NAME has a driver license
number and a set-up number.
iii) Do not enter spaces, hyphens or any other separators.
56) DRIVER LICENSE STATE:
a) Leave this data section blank if Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9”.
b) Enter the two-digit abbreviation for the state issuing the driver license listed in Section 55-DRIVER LICENSE
NUMBER (See Appendix B).
i) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
ii) Enter “CN” if Canadian province is unknown.
iii) Enter “MX” if Mexican state is unknown.
c) Enter “98” for countries other than U.S., Canada and Mexico and explain in Section 221-REMARKS.
57) CLASS:
a) Leave this data section blank if Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9”.
b) Enter “0” if Section 55-DRIVER LICENSE NUMBER contains an Oklahoma set-up number.
c) Enter “9” if Class of the Driver License is unknown.
d) Enter the Class of the Driver License.
i) Oklahoma Driver License Classes are (“A”, “B”, “C” or “D”).
ii) Enter the first digit of the Class for Driver License Classes longer than one digit and record the entire
Class in Section 221-REMARKS.
45 Revised October 20, 2011
58) ENDORSEMENT(S):
59) ENDORSEMENT(S):
60) ENDORSEMENT(S):
a) Leave this data section blank if
i) Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9” or
ii) Endorsements are unknown or
iii) There are no endorsements.
b) Enter the three most applicable endorsements if there are endorsements.
i) If there are more than three endorsements, list remaining endorsements in the Section 221-REMARKS.
61) RESTRICTION(S):
62) RESTRICTION(S):
63) RESTRICTION(S):
a) Leave this data section blank if
i) Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9” or
ii) Restrictions are unknown or
iii) There are no restrictions.
b) Enter the three most applicable restrictions if there are restrictions.
i) If there are more than three restrictions, list remaining restrictions in the Section 221-REMARKS.
64) INJURY SEVERITY:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “A” or
iii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if injury severity is unknown.
46 Revised October 20, 2011
d) Enter the injury severity level for the person listed in Section 44-LAST NAME if Section 39-UNIT is a contact
unit and Section 41-UNIT TYPE is not “A”.
i) Enter “1” if the person has no injuries.
ii) Enter “2”, “3” or “4” if the person is injured.
• “2” -- Possible Injury - An injury reported or claimed which is not a fatal injury, incapacitating injury or
non-incapacitating evident injury.
• “3” -- Non-incapacitating Injury - Evident Injury - Any injury, other than a fatal injury or an
incapacitating injury, which is evident to observers at the scene of the accident in which the injury
occurred.
• “4” -- Incapacitating Injury - Any injury, other than a fatal injury, which prevents the injured person
from walking, driving or normally continuing the activities the person was capable of performing
before the injury occurred.
iii) Enter “5” if the person is fatally injured (death occurs within 30 days of the date of the collision).
e) In the case of a medical condition, use this data section to indicate the condition of the person listed in
Section 44-LAST NAME, even though there is no injury from the collision.
65) TYPE OF INJURY:
66) TYPE OF INJURY:
67) TYPE OF INJURY:
68) TYPE OF INJURY:
69) TYPE OF INJURY
a) This data section shall not be left blank.
b) Enter “0” in the far left of the data section, if Section 64-INJURY SEVERITY is “0” or “1”.
c) Enter “9” in the far left of the data section, if type of injury is unknown.
d) Enter up to five types of injury, if Section 64-INJURY SEVERITY is “2”, “3”, “4”, or “5”.
• “1” -- Head -Any injury, visible or not, to that part of the body above the shoulders. This includes the neck.”
• “2” -- Trunk-External - Any injury to the trunk that is a visible open wound. This would include cuts, bruises
and abrasions.
• “3” --Trunk-Internal - Any injury to that part of the body exclusive of the head, arms and legs that is not a
visible external injury. This would include crushed chest, painful breathing, abnormal swelling, etc.
• “4” – Arms - Any injury to the arms.
• “5” – Legs - Any injury to the legs.
47 Revised October 20, 2011
70) DRIVER/PEDESTRIAN CONDITION:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “A” or
ii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “99” if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Condition of person listed in Section 44-LAST NAME is unknown. Detail in Section 221-REMARKS.
d) Enter the most relevant condition of the person listed in Section 44-LAST NAME.
71) OCCUPANT PROTECTION SYSTEM USE:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
ii) Section 41-UNIT TYPE is “D” or “C” and an occupant protection system was not originally required or
manufactured for the unit or
iii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “99” if
i) Section 41-UNIT TYPE is “D” or “C” and Section 44-LAST NAME is “UNKNOWN” or
ii) Occupant protection system use is unknown.
d) Enter the appropriate option to describe the occupant protection system in use by person listed in Section 44-
LAST NAME if Section 41-UNIT TYPE is “D” or “C” and occupant protection system use is known.
48 Revised October 20, 2011
Article XI. Page #1, Line 8
72) AIR BAG:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) Vehicle is not equipped with air bags or
v) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and air bag deployment is unknown.
d) Enter the appropriate option to describe the air bag deployment for the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Air bag deployment is known.
73) EJECTED:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and ejection is unknown.
49 Revised October 20, 2011
d) Enter the appropriate option “1”, “2”, or “3” to describe the ejection for the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Section 89-VEHICLE CONFIGURATION is not “15”, “16” and “19” and
iii) Ejection is known.
(1) Partial ejection occurs when all movement stops and the person is partially outside the vehicle.
74) EXTRICATED:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or.
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter the appropriate option “1” or “2” to indicate the extrication of the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Section 89-VEHICLE CONFIGURATION is not “15”, “16” and “19” and
(1) Extrication is the removal of an occupant who is physically pinned in the vehicle by damaged vehicle
components as a result of a collision, and is freed or removed from the vehicle.
(2) Extrication refers to the use of equipment or other force to remove an occupant from the vehicle,
more than just lifting or carrying an occupant from wreckage.
75) CHEMICAL TEST:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 41-UNIT TYPE is “A” or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z” or “T” and a chemical test is not given.
c) Enter “5” if Section 41-UNIT TYPE is “D” or “C” and a chemical test is not given.
d) Enter “4” if a chemical test is refused.
50 Revised October 20, 2011
e) Enter the appropriate selection “1”, “2”, “3”, or “6” if a chemical test is given.
f) This does not include federally mandated or company mandated tests.
g) Enter description of “Other” in Section 221-REMARKS.
76) PERCENT BLOOD ALCOHOL CONCENTRATION (BAC):
a) Leave this data section blank if
i) Section 75-CHEMICAL TEST is “0”, “4” or “5” or
ii) BAC test result is unknown at the time of the report.
b) Enter the BAC test result if known.
c) If a BAC test result is pending, a revised report must be submitted to the Department of Public Safety within
two weeks of receipt of the BAC test result.
77) TRANSPORTED BY:
a) Leave this data section blank if Section 64-INJURY SEVERITY is “0”, “1” or “9”.
b) Enter “REFUSED” if Section 64-INJURY SEVERITY is “2”, “3” or “4” and transportation to a medical facility
was refused.
c) Enter “POV” if Section 64-INJURY SEVERITY is “2”, “3” or “4” and transportation is provided by privately
owned vehicle to a medical facility.
d) Enter the type and identity of unit providing transportation to a medical facility if Section 64-INJURY
SEVERITY is “2”, “3” or “4”. Abbreviations are allowed.
e) Enter the transporting entity if Section 64-INJURY SEVERITY is “5”. Abbreviations are allowed.
78) TO MEDICAL FACILITY:
a) Leave this data section blank if Section 77-TRANSPORTED BY is blank or “REFUSED”.
b) Enter the name of the medical facility to which the injured person was transported. Abbreviations are allowed.
c) Enter the name of the facility to which the deceased was transported. Abbreviations are allowed.
51 Revised October 20, 2011
79) LICENSE PLATE NUMBER:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z” or “A”.
b) Enter “UNKNOWN” if Section 41-UNIT TYPE is “D” or “C” and the license plate number is unknown.
c) Enter “NONE” if Section 41-UNIT TYPE is “D” or “C” and no license plate is present or required.
d) Enter “MIL VEH” if
i) Section 41-UNIT TYPE is “D” or “C” and
ii) The vehicle is a military vehicle and
iii) No license plate is displayed.
e) Enter the alphanumeric identifier on the license plate affixed to the motor vehicle if known and Section 41-
UNIT TYPE is “D” or “C”.
i) Enter the license plate number currently displayed [Personalized plate, dealer tags (paper or metal), etc.].
ii) Enter the correct license plate number in Section 221-REMARKS if the displayed license plate is not the
license plate assigned to the vehicle.
iii) Do not enter spaces, hyphens or any other separators.
f) Enter the railroad company designator followed by the three or four digit number displayed on the lead
locomotive if Section 41-UNIT TYPE is “T”, if known.
Example: BNSF9837, UP6736M, KCS708
80) STATE:
a) Leave this data section blank if Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “00” if
i) Section 79-LICENSE PLATE NUMBER is “NONE” or
ii) Section 41-UNIT TYPE is “T”.
c) Enter “99” if
i) Section 79-LICENSE PLATE NUMBER is “UNKNOWN” or
ii) An Indian Nation (Tribal) license plate affixed to the vehicle does not display a state.
d) Enter the state abbreviation of the license plate listed in Section 79-LICENSE PLATE NUMBER, if known
(See Appendix B).
i) Enter the state shown on the Indian Nation (Tribal) license plate, not the Indian Nation.
ii) Enter “US” for federal license plates.
iii) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
iv) Enter “CN” if Canadian province is unknown.
v) Enter “MX” if Mexican state is unknown.
e) Enter “98” for countries other than U.S., Canada and Mexico and explain in the Section 221-REMARKS.
52 Revised October 20, 2011
81) MONTH:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “T” or
ii) Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “00” if Section 79-LICENSE PLATE NUMBER is “NONE”.
c) Enter “99” if Section 79-LICENSE PLATE NUMBER is “UNKNOWN”.
d) Enter the two-digit month (“01”, “02” …”12”) of the registration as indicated on the license plate in Section 79-
LICENSE PLATE NUMBER, if known.
e) Enter “12” for non-expiring license plates or license plates issued to a state, city, county or school district with
no expiration decal.
82) YEAR:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “T” or
ii) Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “0” in the far left of the data section if Section 79-LICENSE PLATE NUMBER is “NONE”.
c) Enter “9” in the far left of the data section if Section 79-LICENSE PLATE NUMBER is “UNKNOWN”.
d) Enter the four-digit year of the registration as indicated on the license plate in Section 79-LICENSE PLATE
NUMBER, if known.
e) Enter the current year for non-expiring license plates or license plates issued to a state, city, county or school
district with no expiration decal.
Article XII. Page #1, Line 9
83) VEHICLE IDENTIFICATION NUMBER (VIN):
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “P” or “A” or
ii) Section 41-UNIT TYPE is “X”, “B” or “Z” and no identifying number is available.
b) Enter “9” in the far left of the data section if the VIN is unknown.
53 Revised October 20, 2011
c) Enter the VIN assigned to the vehicle by the manufacturer if Section 41-UNIT TYPE is “D” or “C”, if known.
i) Attempt to verify the VIN listed on the registration against the vehicle’s VIN plate.
ii) Enter the VIN digits from left to right.
(1) The VIN plate on most automobiles, pick-up trucks, and vans is located on the front left corner of the
dashboard, visible through the windshield. Additionally, a VIN plate may be present on the inside of
the driver’s door.
(2) The VIN plate on most tractor-trailers is located on a plate in the passenger compartment. This plate
can readily be seen by opening the driver’s door.
(3) The VIN plate on the majority of motorcycles is located on the fork or frame itself, not the number on
the engine; most motorcycles have an engine serial number that is different from the VIN.
iii) Do not enter spaces, hyphens or any other separators.
d) Enter a unique identifying number if Section 41-UNIT TYPE is “X”, “B” or “Z”, if available.
e) Enter the train consist number if Section 41-UNIT TYPE is “T”. This is usually in possession of the conductor.
84) VEHICLE YEAR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “9” in far left of the data section if Section 41-UNIT TYPE is “D” or “C” and the vehicle year is unknown.
c) Enter the vehicle year as assigned by the manufacturer if Section 41-UNIT TYPE is “D” or “C”, if known.
i) Use all four digits to denote the model year.
85) COLOR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “9” in far left of the data section if Section 41-UNIT TYPE is “D” or “C” and the vehicle color is unknown.
c) Enter the vehicle color code from Table 85-1 if Section 41-UNIT TYPE is “D” or “C”, if known.
i) For multicolored vehicles (three or more colors), enter MUL in this data block.
ii) When describing a vehicle of two colors, the order of listing shall be from top to bottom or from front to
rear. Example: WHI BLU RED WHI.
Vehicle Color Codes
COLOR CODE COLOR CODE COLOR CODE
Aluminum SIL Cream CRM Purple PLE
Amethyst (Purple) AME Gold GLD Red RED
Beige BGE Gray GRY Silver SIL
Black BLK Green GRN Stainless Steel COM
Blue BLU Green, dark DGR Tan TAN
Blue, Dark DBL Green, light LGR Taupe (Brown) TPE
Blue, Light LBL Ivory CRM Teal TEA
Bronze BRZ Lavender LAV Turquoise TRQ
Brown BRO Maroon MAR White WHI
Burgundy MAR Mauve (Purple) MVE Yellow YEL
Camouflage CAM Multicolored MUL
54 Revised October 20, 2011
Vehicle Color Codes
Chrome COM Orange ONG
Copper CPR Pink PNK
Table 85-1
86) SECOND COLOR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “0” in far left of the data section if
i) Section 41-UNIT TYPE is “D” or “C” and there is not a second color or
ii) Section 85-COLOR is “MUL”.
c) Enter “9” in the far left of the data section, if Section 85-COLOR is “9” or the second color is unknown.
d) Enter the vehicle color code from Table 86-1 if Section 41-UNIT TYPE is “D” or “C” and if a second color is
known.
i) Do not use “MUL” in this data section.
ii) When describing a vehicle of two colors, the order of listing shall be from top to bottom or from front to
rear. Example: WHI BLU RED WHI.
Vehicle Color Codes
COLOR CODE COLOR CODE COLOR CODE
Aluminum SIL Cream CRM Purple PLE
Amethyst (Purple) AME Gold GLD Red RED
Beige BGE Gray GRY Silver SIL
Black BLK Green GRN Stainless Steel COM
Blue BLU Green, dark DGR Tan TAN
Blue, Dark DBL Green, light LGR Taupe (Brown) TPE
Blue, Light LBL Ivory CRM Teal TEA
Bronze BRZ Lavender LAV Turquoise TRQ
Brown BRO Maroon MAR White WHI
Burgundy MAR Mauve (Purple) MVE Yellow YEL
Camouflage CAM
Chrome COM Orange ONG
Copper CPR Pink PNK
Table 86-1
87) MAKE:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, or “A”.
b) Enter “UNKN” if Section 41-UNIT TYPE is “D”, “C” or “T” and vehicle make is unknown.
c) Enter the make or trade name of the vehicle if Section 41-UNIT TYPE is “D” or “C” and vehicle make is known
(See Appendix C).
i) Vehicle makes can be two to four letters. Check the partial NCIC list found in Appendix C. Use NCIC
codes only.
(1) Enter the make or trade name of the vehicle beginning in the far left of the data section.
ii) Keep in mind the codes may be different from those used in the past.
55 Revised October 20, 2011
(1) Examples: Kenworth �� KW, Freightliner – FRHT, Peterbilt – PTRB, Saab – SAA.
iii) Enter “OTHE” if an NCIC code for the make cannot be found on the list.
iv) Additional NCIC Vehicle Codes may be found at:
http://www.leds.state.or.us/OSP/CJIS/docs/NCIC_Vehicle_Codes.pdf
d) Enter “FRGT” if Section 41-UNIT TYPE is “T” and the unit is a freight train.
e) Enter “PASS” if Section 41-UNIT TYPE is “T” and the unit is a passenger train.
88) MODEL:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, or “A”.
b) Enter “UNKN” if
i) Section 41-UNIT TYPE is “D” or “C” and the vehicle make is unknown or
ii) Section 41-UNIT TYPE is “T” and the number of railcars and non-lead locomotives is unknown.
c) Enter the first four characters of the model name of the vehicle beginning in the far left of the data if Section
41-UNIT TYPE is “D” or “C” and the vehicle model is known.
d) Enter the total number of railcars and non-lead locomotives beginning in the far left of the data section if
Section 41-UNIT TYPE is “T”.
Example: 1-lead locomotive, 3 non-lead locomotives and 40 rail cars. Enter “43” for the total number of
railcars in the Vehicle Model Section.
89) VEHICLE CONFIGURATION:
Table 89-1
56 Revised October 20, 2011
a) This data section shall not be left blank.
b) Enter “00” if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
c) Enter “99” if Section 41-UNIT TYPE is “D” or “C” and the vehicle configuration is unknown.
d) Enter the appropriate vehicle configuration, if known, from the Table 89-1 if Section 41-UNIT TYPE is “D” or
“C”.
e) Enter description of “Other” in Section 221-REMARKS.
90) EXTENT OF DAMAGE:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
c) Enter “9” if Section 41-UNIT TYPE “D” or “C” and extent of damage are unknown.
d) Enter “1”, “2”, “3”, or “4” to indicate the extent of damage if Section 41-UNIT TYPE is “D” or “C”.
• 1 – None.
• 2 -- Minor - Limited cosmetic damage that does not render the vehicle immobile.
• 3 -- Functional - Road vehicle damage, other than disabling damage, which affects operation of the road
vehicle or its parts.
• 4 -- Disabling - Damage which precludes departure of the vehicle from the collision, if moved, in its usual
operating manner by daylight after simple repairs.
Article XIII. Page #1, Line 10
91) INSURANCE VERIFICATION:
a) This data section shall not be left blank.
b) Enter “0” if
57 Revised October 20, 2011
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T” or
ii) Section 41-UNIT TYPE is “C” and the unit is legally parked on private property.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and insurance verification is unknown.
d) Enter “1”, “2”, “3” or “4” to indicate the appropriate description for insurance verification, if known.
• 1 – No - If the operator or owner of the unit does not have satisfactory evidence of minimum liability
insurance.
• 2 – Owner - If the operator is the legal owner of the unit.
Title 47 § 7-602 A1. The owner of a motor vehicle registered in this state shall carry in such vehicle
at all times, a current owner's security verification form listing the vehicle, or an equivalent form which
has been issued by the Department and shall produce such form upon request for inspection by any
law enforcement officer or representative of the Department of Public Safety, and in case of a
collision, the form shall be shown upon request to any person affected by said collision.
• 3 –Operator - If the operator is not the legal owner of the unit.
• 4 – Exempt - If the operator of the unit is exempt from producing security verification.
Title 47 §7-602.A.4. The following shall not be required to carry an owner's or operator's security
verification form or an equivalent form from the Department during the operation of the vehicle and
shall not be required to surrender such form for vehicle registration purposes.
Title 47 § 7-602 A.4.a. Any vehicle owned or leased by the federal or state government, or any
agency or political subdivision thereof.
Title 47 § 7-602A.4.b. Any vehicle bearing the name, symbol, or logo of a business, corporation or
utility on the exterior and which is in compliance with the provisions of Section 7-600 through 7-607 of
this title according to records of the Department of Public Safety which reflect a deposit, bond, self-insurance,
or fleet policy.
Title 47 § 7-602.A.4.c. Fleet vehicles maintaining current vehicle liability insurance as required by the
Corporation Commission or any other regulating entity.
Title 47 § 7-602.A.4.d. Any licensed taxi cab.
Title 47 § 7-602.A.4.e. Any vehicle owned by a licensed, used motor vehicle dealer.
Exempt units are not limited to these examples.
92) INSURANCE COMPANY NAME:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter the business name of the insurance company insuring the vehicle if Section 91-INSURANCE
VERIFICATION is “2” or “3”.
93) POLICY NUMBER:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter the policy number if Section 91-INSURANCE VERIFICATION is “2” or “3”.
58 Revised October 20, 2011
c) Enter effective and expiration dates after the policy number, if agency policy dictates.
94) INSURANCE TELEPHONE NUMBER:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter “9” in the far left of the data section if Section 91-INSURANCE VERIFICATION is “2” or “3” and the
telephone number is unknown.
c) Enter the insurance provider’s telephone number including the area code if Section 91-INSURANCE
VERIFICATION is “2” or “3” and the telephone number is known.
i) A list of area code prefixes for Oklahoma cities is provided in Appendix K.
ii) Do not enter spaces, hyphens or any other separators.
Article XIV. Page #1, Line 11
95) VEHICLE REMOVED BY:
• This data section consists of two elements: “Driver” and “Vehicle Removed by”.
a) Leave both elements blank if
i) Section 41-UNIT TYPE is “P”, “A” or “T” or
ii) Section 41-UNIT TYPE is “D”, “X”, “B”, “Z” or “C” and it is unknown who removed the vehicle.
b) Indicate in the “Driver” element if the driver removed the vehicle and Section 41-UNIT TYPE is “D”, “X”, “B”,
“Z” or “C”.
c) Leave the “Vehicle Removed by” element blank, if the “Driver” element is indicated.
d) Enter “LEFT AT SCENE” in the “Vehicle Removed by” element if the vehicle is not removed and Section 41-
UNIT TYPE is “D”, “X”, “B”, “Z”, or ���C”.
e) Enter the name of the person or company that removed the vehicle, if known, in the “Vehicle Removed by”
element, if Section 41-UNIT TYPE is “D”, “X”, “B”, “Z”, or “C”.
96) OWNER’S LAST NAME:
• This data section consists of two elements: “Same as Driver” and “Owner’s Last Name”.
a) Leave both elements blank if
59 Revised October 20, 2011
i) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and the person listed in Section 44-LAST NAME is not a
minor (over age 17) or
ii) Section 41-UNIT TYPE is “A” and the unit is a wild animal.
iii) Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV” and the owner and carrier are the same.
b) Indicate in the “Same as Driver” element if
i) Section 41-UNIT TYPE is “D” or “C” and the owner is the driver or
ii) Section 41-UNIT TYPE is “X”, “B”, or “Z” and the owner is the driver and is not a minor (over age 17).
c) Leave the “Owner’s Last Name” element blank if the “Same as Driver” element is indicated.
d) Enter “UNKNOWN” in the “Owner’s Last Name” element if
i) Section 41-UNIT TYPE is “D” or “C” and the owner is unknown or
ii) Section 41-UNIT TYPE is “A” and the unit is not a wild animal and the owner is unknown or
iii) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and the person listed in Section 44-LAST NAME is a minor
(under age 18) and parents and/or guardian are unknown or
iv) Section 41-UNIT TYPE is “T” and the owner of the railroad track is unknown.
e) Enter the last name of the owner, if known, in the “Owner’s Last Name” element if the owner is an individual
and
i) Section 41-UNIT TYPE is “D” or “C” and the owner is not the driver or
ii) Section 41-UNIT TYPE is “D” or “C” and Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV”
and the owner is not the same as the carrier or
iii) Section 41-UNIT TYPE is “X”, “B” or “Z” and the owner is not the driver and is not a minor (over age 17)
or
iv) Section 41-UNIT TYPE is “A” and the unit is not a wild animal.
f) Enter the entity name of the owner, if known, in the “Owner’s Last Name” element if the owner is not an
individual and
i) Section 41-UNIT TYPE is “D” or “C” and Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV”
and the owner is not the same as the carrier or
ii) Section 41-UNIT TYPE is “X”, “B” or “Z” and the owner is not the driver and is not a minor (over age 17)
or
iii) Section 41-UNIT TYPE is “A” and the unit is not a wild animal.
iv) Abbreviations and acronyms are allowed. Example: ODOT, OTA, OK TURNPIKE AUTH, etc.
v) In addition, enter the complete entity name in the Section 221-REMARKS, if the entity’s acronym or
abbreviated name is not well known.
g) Enter the Last Name of the parent or guardian of the person listed in Section 44-LAST NAME in the “Owner’s
Last Name” element if
i) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and
ii) The person listed in Section 44-LAST NAME is a minor (under age 18) and
iii) The parent or guardian’s name is known.
h) Enter the company name of the owner of the railroad tracks in the “Owner’s Last Name” element if Section
41-UNIT TYPE is “T”. This may or may not be same as the owner of the train.
97) OWNER’S FIRST NAME:
a) Leave this data section blank if
60 Revised October 20, 2011
i) “Same as Driver” element is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The first name is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the First Name of the person listed in Section 96-OWNER’S LAST NAME, if known.
98) OWNER’S MIDDLE INITIAL:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The middle name is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the Middle Name of the person listed in Section 96-OWNER’S LAST NAME, if known.
99) OWNER’S SUFFIX:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The suffix is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the Suffix (Jr., Sr., III, etc.) of the person listed in Section 96-OWNER’S LAST NAME, if known. Do not
enter titles such as Mr., Mrs., Ms., etc.
c) The suffix shall be entered after the Middle Name (Section 98-OWNER’S MIDDLE INITIAL) if no suffix data
section is available.
Article XV. Page #1, Line 12
100) VEHICLE OWNER’S ADDRESS:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank.
61 Revised October 20, 2011
b) Enter “UNKNOWN” if the address of the entity listed in Section 96-OWNER’S LAST NAME is unknown.
c) Enter the address of the entity listed in Section 96-OWNER’S LAST NAME, if known.
101) VEHICLE OWNER’S CITY:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The city of the entity listed in Section 96-OWNER’S LAST NAME is unknown or
iii) Section 100-VEHICLE OWNER’S ADDRESS is blank or “UNKNOWN”.
b) Enter the city of the entity listed in Section 96-OWNER’S LAST NAME, if known.
102) VEHICLE OWNER’S STATE:
a) Leave this data section blank if the “Same as Driver” element in Section 96-OWNER’S LAST NAME is
indicated.
b) Enter “99” if
i) Section 100-VEHICLE OWNER’S ADDRESS is “UNKNOWN”
ii) The state of the entity listed in Section 96-OWNER’S LAST NAME is unknown.
c) Enter the state abbreviation of the entity listed in Section 96-OWNER’S LAST NAME, if known (See Appendix
B).
i) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
ii) Enter “CN” if Canadian province is unknown.
iii) Enter “MX” if Mexican state is unknown.
d) Enter “98” for countries other than the U.S., Canada and Mexico and explain in the remarks.
103) VEHICLE OWNER’S ZIP CODE:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) Section 100-VEHICLE OWNER’S ADDRESS is blank or “UNKNOWN” or
iii) The zip code of the entity listed in Section 96-OWNER’S LAST NAME is unknown or
iv) The address is not in the U.S.
b) Enter the five-digit zip code for a U.S. address of the entity listed in Section 96-OWNER’S LAST NAME, if
known.
i) A list of Oklahoma zip codes is provided in Appendix J.
62 Revised October 20, 2011
104) OVERSIZED LOAD:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T” or
ii) Section 41-UNIT TYPE is “D” or “C” and the oversized load status of the unit is unknown or
iii) Section 41-UNIT TYPE is “D” or “C” and the unit is not an oversized load.
(1) Oversized loads are defined in Title 47, Chapter 14, Section 103.
c) Enter “N” if Section 41-UNIT TYPE is “D” or “C” and the unit is an o

OFFICIAL OKLAHOMA TRAFFIC COLLISION
REPORT INSTRUCTION MANUAL
Revision – 2011
Blank
i Revised October 20, 2011
Letter from Commissioner
ii Revised October 20, 2011
Blank Page
1 Revised October 20, 2011
Collision Report Form
2 Revised October 20, 2011
3 Revised October 20, 2011
4 Revised October 20, 2011
Collision Report Supplementals
5 Revised October 20, 2011
6 Revised October 20, 2011
7 Revised October 20, 2011
8 Revised October 20, 2011
9 Revised October 20, 2011
OFFICIAL OKLAHOMA TRAFFIC COLLISION
REPORT INSTRUCTION MANUAL
Table of Contents
Section Page
LETTER FROM COMMISSIONER..........................................................................................................I
COLLISION REPORT FORM .................................................................................................................1
COLLISION REPORT SUPPLEMENTALS ..........................................................................................4
TABLE OF CONTENTS...............................................................................................................................9
IMPORTANCE OF DATA COLLECTION...................................................................................................16
ARTICLE I COLLISION REPORT PROTOCOLS ......................................................................................17
ARTICLE II OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT.....................................................20
ARTICLE III PAGE #1, TOP SECTION ......................................................................................................20
A. DO NOT WRITE IN THIS SPACE:.................................................................................................20
1) PG ___ OF ___:.............................................................................................................................20
2) INCIDENT REPORT:......................................................................................................................21
3) INVESTIGATION COMPLETED: ...................................................................................................21
4) INVESTIGATION MADE AT SCENE: ............................................................................................21
5) PHOTOGRAPHS:..........................................................................................................................22
6) REVISED REPORT:.......................................................................................................................22
7) FATALITY:.....................................................................................................................................22
8) HIT AND RUN:...............................................................................................................................22
ARTICLE IV PAGE #1, LINE 1 ...................................................................................................................23
9) REPORTING AGENCY:.................................................................................................................23
10) CASE NUMBER (AGENCY USE): .................................................................................................23
11) MOTOR VEHICLES INVOLVED: ...................................................................................................23
12) NUMBER INJURED: ......................................................................................................................24
13) NUMBER KILLED:.........................................................................................................................24
ARTICLE V PAGE #1, LINE 2 ....................................................................................................................24
14) DATE: ............................................................................................................................................25
15) TIME: .............................................................................................................................................25
16) COUNTY NUMBER:.......................................................................................................................26
17) COUNTY NAME: ............................................................................................................................26
18) IN / NEAR CITY:............................................................................................................................26
19) CITY / TOWN NUMBER:................................................................................................................27
20) CITY / TOWN NAME: .....................................................................................................................27
ARTICLE VI PAGE #1, LINE 3 ...................................................................................................................27
21) DISTANCE FROM CITY / TOWN:..................................................................................................27
22) MILES / FEET:...............................................................................................................................28
23) N-S:................................................................................................................................................28
24) DISTANCE FROM CITY / TOWN:..................................................................................................28
25) MILES / FEET:...............................................................................................................................29
26) E-W:...............................................................................................................................................29
27) CONTROL NUMBER: ....................................................................................................................29
10 Revised October 20, 2011
28) INT ID: ...........................................................................................................................................30
29) LOCATION: ...................................................................................................................................30
30) COUNTY SECTION LINE GRIDS (EAST GRID): ..........................................................................31
31) COUNTY SECTION LINE GRIDS (NORTH GRID):.......................................................................32
32) ADMINISTRATIVE: ........................................................................................................................32
ARTICLE VII PAGE #1, LINE 4 ..................................................................................................................33
33) STREET, ROAD OR HIGHWAY: ...................................................................................................33
34) AT: .................................................................................................................................................33
35) DISTANCE FROM INTERSECTING STREET, ROAD OR HIGHWAY: ........................................35
36) MILES / FEET:...............................................................................................................................35
37) N-S, E-W:.......................................................................................................................................35
38) (NEAREST) INTERSECTION STREET, RD OR HIGHWAY:........................................................35
ARTICLE VIII PAGE #1, LINE 5 .................................................................................................................36
39) UNIT: .............................................................................................................................................36
40) OCCUPANTS: ...............................................................................................................................37
41) UNIT TYPE:...................................................................................................................................38
42) HIT & RUN:....................................................................................................................................39
43) COMMERCIAL MOTOR VEHICLE: ...............................................................................................39
44) LAST NAME: .................................................................................................................................40
45) FIRST NAME: ................................................................................................................................40
46) MIDDLE: ........................................................................................................................................40
47) SUFFIX:.........................................................................................................................................41
48) DATE OF BIRTH: MM/DD/YYYY: ..................................................................................................41
49) DRIVER’S SEX:.............................................................................................................................41
ARTICLE IX PAGE #1, LINE 6 ...................................................................................................................42
50) ADDRESS: ....................................................................................................................................42
51) CITY:..............................................................................................................................................42
52) STATE: ..........................................................................................................................................42
53) ZIP CODE:.....................................................................................................................................43
54) TELEPHONE NUMBER: ................................................................................................................43
ARTICLE X PAGE #1, LINE 7 ....................................................................................................................43
55) DRIVER LICENSE NUMBER: ........................................................................................................44
56) DRIVER LICENSE STATE: ............................................................................................................44
57) CLASS:..........................................................................................................................................44
58) ENDORSEMENT(S):......................................................................................................................45
59) ENDORSEMENT(S):......................................................................................................................45
60) ENDORSEMENT(S):......................................................................................................................45
61) RESTRICTION(S):..........................................................................................................................45
62) RESTRICTION(S):..........................................................................................................................45
63) RESTRICTION(S):..........................................................................................................................45
64) INJURY SEVERITY:......................................................................................................................45
65) TYPE OF INJURY: .........................................................................................................................46
66) TYPE OF INJURY: .........................................................................................................................46
67) TYPE OF INJURY: .........................................................................................................................46
68) TYPE OF INJURY: .........................................................................................................................46
69) TYPE OF INJURY ..........................................................................................................................46
70) DRIVER/PEDESTRIAN CONDITION:............................................................................................47
71) OCCUPANT PROTECTION SYSTEM USE: .................................................................................47
ARTICLE XI PAGE #1, LINE 8 ...................................................................................................................48
72) AIR BAG: .......................................................................................................................................48
73) EJECTED: .....................................................................................................................................48
74) EXTRICATED:...............................................................................................................................49
75) CHEMICAL TEST:..........................................................................................................................49
76) PERCENT BLOOD ALCOHOL CONCENTRATION (BAC): ..........................................................50
77) TRANSPORTED BY:......................................................................................................................50
78) TO MEDICAL FACILITY:................................................................................................................50
11 Revised October 20, 2011
79) LICENSE PLATE NUMBER: ..........................................................................................................51
80) STATE: ..........................................................................................................................................51
81) MONTH:.........................................................................................................................................52
82) YEAR:............................................................................................................................................52
ARTICLE XII PAGE #1, LINE 9 ..................................................................................................................52
83) VEHICLE IDENTIFICATION NUMBER (VIN): ...............................................................................52
84) VEHICLE YEAR:............................................................................................................................53
85) COLOR:.........................................................................................................................................53
86) SECOND COLOR:.........................................................................................................................54
87) MAKE:............................................................................................................................................54
88) MODEL:.........................................................................................................................................55
89) VEHICLE CONFIGURATION:........................................................................................................55
90) EXTENT OF DAMAGE:..................................................................................................................56
ARTICLE XIII PAGE #1, LINE 10 ...............................................................................................................56
91) INSURANCE VERIFICATION: .......................................................................................................56
92) INSURANCE COMPANY NAME:...................................................................................................57
93) POLICY NUMBER:........................................................................................................................57
94) INSURANCE TELEPHONE NUMBER:..........................................................................................58
ARTICLE XIV PAGE #1, LINE 11...............................................................................................................58
95) VEHICLE REMOVED BY: ..............................................................................................................58
96) OWNER’S LAST NAME: ................................................................................................................58
97) OWNER’S FIRST NAME:...............................................................................................................59
98) OWNER’S MIDDLE INITIAL:..........................................................................................................60
99) OWNER’S SUFFIX:........................................................................................................................60
ARTICLE XV PAGE #1, LINE 12................................................................................................................60
100) VEHICLE OWNER’S ADDRESS:...................................................................................................60
101) VEHICLE OWNER’S CITY: ............................................................................................................61
102) VEHICLE OWNER’S STATE:.........................................................................................................61
103) VEHICLE OWNER’S ZIP CODE: ...................................................................................................61
104) OVERSIZED LOAD: .......................................................................................................................62
105) TOWED VEHICLE TYPE: ..............................................................................................................63
106) ROLLED: .......................................................................................................................................63
107) BURNED:.......................................................................................................................................63
108) PHONE PRESENT:.......................................................................................................................63
109) PHONE IN USE:............................................................................................................................64
ARTICLE XVI PAGE #1, LINE 13...............................................................................................................64
110) CITATION NUMBER: .....................................................................................................................64
111) STATUTE/ORDINANCE NUMBER:...............................................................................................64
112) CITATION NUMBER: .....................................................................................................................64
113) STATUTE/ORDINANCE NUMBER:...............................................................................................64
ARTICLE XVII PAGE #1, LINE 23..............................................................................................................65
114) INVESTIGATING OFFICER: ..........................................................................................................65
115) BADGE NUMBER:.........................................................................................................................65
116) TROOP/DIVISION: .........................................................................................................................65
117) REVIEWED BY (INITIALS):............................................................................................................66
118) REVIEWER BADGE NUMBER: .....................................................................................................66
119) DATE OF REPORT (MM/DD/YYYY):.............................................................................................66
ARTICLE XVIII PAGE #2, TOP SECTION..................................................................................................67
120) CASE NUMBER: ............................................................................................................................67
121) PG ___ OF ___:.............................................................................................................................67
ARTICLE XIX PAGE #2, LINE 24...............................................................................................................67
122) UNIT: .............................................................................................................................................68
123) INJURED: ......................................................................................................................................68
12 Revised October 20, 2011
124) WITNESS: .....................................................................................................................................68
125) PASSENGER: ...............................................................................................................................68
126) PROPERTY OWNER:....................................................................................................................68
127) POSITION IN VEHICLE: ................................................................................................................69
128) LAST NAME: .................................................................................................................................69
129) FIRST NAME: ................................................................................................................................71
130) MIDDLE INITIAL: ............................................................................................................................71
131) SUFFIX:.........................................................................................................................................71
132) DATE OF BIRTH: MM/DD/YYYY: ..................................................................................................71
133) SEX:...............................................................................................................................................72
ARTICLE XX PAGE #2, LINE 25................................................................................................................72
134) ADDRESS: ....................................................................................................................................72
135) CITY:..............................................................................................................................................72
136) STATE: ..........................................................................................................................................73
137) ZIP CODE:.....................................................................................................................................73
138) TELEPHONE NUMBER: ................................................................................................................74
ARTICLE XXI PAGE #2, LINE 26...............................................................................................................74
139) INJURY SEVERITY:......................................................................................................................74
140) TYPE OF INJURY: .........................................................................................................................75
141) TYPE OF INJURY: .........................................................................................................................75
142) TYPE OF INJURY: .........................................................................................................................75
143) TYPE OF INJURY: .........................................................................................................................75
144) TYPE OF INJURY: .........................................................................................................................75
145) OCCUPANT PROTECTION SYSTEM USE: .................................................................................76
146) AIR BAG: .......................................................................................................................................76
147) EJECTED: .....................................................................................................................................76
148) EXTRICATED:...............................................................................................................................77
149) TRANSPORTED BY:......................................................................................................................78
150) TO MEDICAL FACILITY:................................................................................................................78
151) PROPERTY TYPE: ........................................................................................................................78
ARTICLE XXII PAGE #2, LINE 36..............................................................................................................78
152) UNIT: .............................................................................................................................................79
153) CARRIER NAME: ...........................................................................................................................79
154) ADDRESS: ....................................................................................................................................82
ARTICLE XXIII PAGE #2, LINE 37.............................................................................................................82
155) CITY:..............................................................................................................................................82
156) STATE: ..........................................................................................................................................82
157) ZIP: ................................................................................................................................................83
158) GVWR/GCWR: ...............................................................................................................................83
159) WEIGHT ........................................................................................................................................82
160) AXLE QUANTITY: ..........................................................................................................................84
161) CARGO BODY: ..............................................................................................................................84
162) VEHICLE USE: ...............................................................................................................................85
ARTICLE XXIV PAGE #2, LINE 38 ............................................................................................................86
163) U.S. DOT NUMBER: ......................................................................................................................86
164) NASI REPORT NUMBER:..............................................................................................................86
165) PLACARD NUMBER:.....................................................................................................................87
166) HAZARDOUS MATERIAL CLASS: ................................................................................................87
167) HAZARDOUS MATERIALS INVOLVED: .......................................................................................88
168) HAZARDOUS MATERIALS RELEASE:.........................................................................................89
ARTICLE XXV PAGE #3, TOP SECTION ..................................................................................................89
169) CASE NUMBER: ............................................................................................................................89
170) PG ___ OF ___:.............................................................................................................................89
ARTICLE XXVI PAGE #3, UNIT SECTION................................................................................................90
13 Revised October 20, 2011
171) UNIT: .............................................................................................................................................90
172) TOTAL LANES IN ROADWAY:......................................................................................................90
173) LEGAL SPEED:.............................................................................................................................91
174) PEDESTRIAN/PEDALCYCLIST ACTIONS PRIOR TO COLLISION:............................................92
175) PEDESTRIAN/PEDALCYCLIST LOCATION AT TIME OF COLLISION: ......................................93
176) PEDESTRIAN/PEDALCYCLIST SAFETY EQUIPMENT:..............................................................93
177) UNIT NUMBER OF MOTOR VEHICLE STRIKING PEDESTRIAN/PEDALCYCLIST: ..................94
ARTICLE XXVII PAGE #3, WORK ZONE SECTION.................................................................................94
178) WAS COLLISION IN A WORK ZONE:...........................................................................................95
179) TYPE OF WORK ZONE: ................................................................................................................95
180) LOCATION OF THE WORK ZONE COLLISION: ..........................................................................95
181) WORKERS PRESENT:..................................................................................................................96
182) LIGHT: ...........................................................................................................................................96
183) WEATHER:....................................................................................................................................97
184) LOCALITY: ....................................................................................................................................97
185) TYPE OF INTERSECTION: ...........................................................................................................98
186) INCIDENT TYPE: ...........................................................................................................................98
187) LOCATION OF FIRST HARMFUL EVENT: ...................................................................................99
188) WHAT WAS VEHICLE GOING TO DO:.........................................................................................99
189) WHAT VEHICLE DID: ..................................................................................................................100
190) VISIBILITY OBSCURED BY:........................................................................................................101
191) DRIVER DISTRACTED BY: .........................................................................................................101
192) UNDERRIDE/OVERRIDE: ...........................................................................................................102
193) TRAFFIC CONTROL:...................................................................................................................102
194) ROAD SURFACE CONDITIONS: ................................................................................................103
195) ROAD CHARACTER:...................................................................................................................103
196) ROAD ALIGNMENT: ....................................................................................................................104
197) ROAD SURFACE TYPE:..............................................................................................................104
198) TRAFFICWAY: .............................................................................................................................105
199) VEHICLE REMOVAL:...................................................................................................................106
200) VEHICLE CONDITION: ................................................................................................................106
201) SPECIAL FUNCTION OF VEHICLE: ...........................................................................................107
202) EMERGENCY VEHICLE RESPONDING TO AN EMERGENCY: ...............................................107
203) UNSAFE / UNLAWFUL CONTRIBUTING FACTORS: ................................................................108
204) POINT OF FIRST CONTACT ON VEHICLE:...............................................................................109
205) MOST DAMAGED AREA: ............................................................................................................109
ARTICLE XXVIII PAGE #4, TOP SECTION .............................................................................................110
206) CASE NUMBER: ..........................................................................................................................110
207) PG ___ OF ___:...........................................................................................................................110
ARTICLE XXIX PAGE 4, LINE 1 ..............................................................................................................111
208) LATITUDE: ..................................................................................................................................111
209) LONGITUDE:...............................................................................................................................111
210) RAILROAD CROSSING NUMBER: .............................................................................................111
211) ROADWAY ORIENTATION - UNIT:.............................................................................................112
212) ROADWAY ORIENTATION - NESW: ..........................................................................................112
213) COLLISION DIAGRAM:................................................................................................................113
ARTICLE XXX PAGE #4, COLLISION EVENTS SECTION ....................................................................116
214) UNIT: ...........................................................................................................................................116
215) FIRST EVENT: .............................................................................................................................116
216) SECOND EVENT: ........................................................................................................................117
217) THIRD EVENT:............................................................................................................................118
218) FOURTH EVENT:.........................................................................................................................119
219) MOST HARMFUL EVENT:...........................................................................................................120
220) FIRST HARMFUL EVENT FOR THE ENTIRE COLLISION: .......................................................120
221) REMARKS:..................................................................................................................................121
ARTICLE XXXI STATEMENT OF WITNESS FORM, TOP SECTION.....................................................122
14 Revised October 20, 2011
222) CASE NUMBER: ..........................................................................................................................122
223) PG ___ OF ___:...........................................................................................................................122
ARTICLE XXXII STATEMENT OF WITNESS FORM, LINE 1 .................................................................123
224) MONTH:.......................................................................................................................................123
225) DAY: ............................................................................................................................................123
226) YEAR:..........................................................................................................................................123
227) COUNTY:.....................................................................................................................................123
228) ADMINISTRATIVE: ......................................................................................................................123
ARTICLE XXXIII STATEMENT OF WITNESS FORM, LINE 2 ................................................................124
229) LAST NAME: ...............................................................................................................................124
230) SUFFIX:.......................................................................................................................................124
231) FIRST NAME: ...............................................................................................................................124
232) MIDDLE: ......................................................................................................................................124
233) DATE OF BIRTH: MM/DD/YYYY: ................................................................................................124
ARTICLE XXXIV STATEMENT OF WITNESS FORM, LINE 3................................................................124
234) ADDRESS: ..................................................................................................................................125
235) CITY:............................................................................................................................................125
236) STATE: ........................................................................................................................................125
237) ZIP CODE:...................................................................................................................................125
238) TELEPHONE NUMBER: ..............................................................................................................125
ARTICLE XXXV STATEMENT OF WITNESS FORM, WITNESS DECLARATION ................................126
239) LEGAL SIGNATURE:...................................................................................................................126
240) STATEMENT DESCRIPTION: .....................................................................................................126
241) LOCATION: .................................................................................................................................126
242) WHEN INCIDENT OCCURRED:..................................................................................................126
243) THIS STATEMENT WAS WRITTEN ON: ....................................................................................127
ARTICLE XXXVI STATEMENT OF WITNESS FORM, WRITTEN STATEMENT SECTION ..................128
ARTICLE XXXVII STATEMENT OF WITNESS FORM, OFFICER INFORMATION................................128
244) OFFICER’S RANK AND NAME:...................................................................................................128
245) TROOP OR DIVISION:.................................................................................................................128
APPENDIX A: COUNTY AND CITY NUMBERS.....................................................................................137
APPENDIX B: TWO LETTER STATE AND FOREIGN COUNTY ABBREVIATIONS ...........................134
APPENDIX C: VEHICLE MAKE ABBREVIATIONS ...............................................................................135
APPENDIX D: EXTENDED DEFINITIONS..............................................................................................137
APPENDIX E: UNIT DEFINITIONS .........................................................................................................137
APPENDIX F: ADDITIONAL CLOCK CONTACT DIAGRAMS ..............................................................144
APPENDIX G: SEQUENCE OF EVENTS - FIXED OBJECT EXAMPLES..............................................145
APPENDIX H: REPORT EXAMPLES.......................................................................................................148
APPENDIX I: GRADE CROSSING (TRAIN) COLLISION CHECKLIST..................................................181
APPENDIX J: OKLAHOMA ZIP CODES .................................................................................................182
APPENDIX K: OKLAHOMA AREA CODES BY CITY............................................................................188
APPENDIX L: SEQUENCE OF EVENTS ................................................................................................191
15 Revised October 20, 2011
APPENDIX M: ADDITIONAL INSTRUCTIONS FOR COMMERCIAL VEHILCE DATA ........................194
APPENDIX N: OKLAHOMA DRIVER LICENSE ENDORSEMENT & RESTRICTION CODES.............199
16 Revised October 20, 2011
IMPORTANCE OF DATA COLLECTION
A motor vehicle collision report includes information that describes characteristics of the events,
vehicles and persons (drivers, injured and uninjured occupants, injured pedestrians and bicyclists,
etc.) involved in the collision. Law enforcement investigates the collision at the scene and
documents the information on the collision report.
Data recorded on collision reports are computerized and merged into a central electronic collision
data file at the Department of Public Safety, Records Management Division. In addition, the
Department of Transportation, Traffic Engineering Division enhances location data.
These collision databases provide the basic information necessary for developing effective
highway and traffic safety programs. It is the most reliable way to analyze and evaluate data to
increase public awareness of highway safety issues. Data from Oklahoma’s collision data
systems are used to:
• Identify and prioritize highway and traffic safety problem areas
• Initiate and evaluate the effectiveness of laws and policies intended to reduce deaths,
injuries, injury severity and costs
• Assess the relationship between vehicle and highway characteristics, collision propensity,
and injury severity to support and evaluate countermeasures
• Draw public/media attention to a traffic safety issues and problems
• Provide justification for existing traffic safety programs or illustrate a need for new programs
• Help provide grant funding
• Communicate the importance of data
National standards used in development of the new Oklahoma Official Traffic Collision Report
(OOTCR) and Official Oklahoma Traffic Collision Report Instruction Manual (OOTCRIM) include:
(1) Model Minimum Uniform Crash Criteria (MMUCC), (2) ANSI D16.1-1996 Manual on
Classification of Motor Vehicle Traffic Accidents, 6th Edition and (3) ANSI D20-2003 Data Element
Dictionary for Traffic Records Systems.
By using these standards, Oklahoma is taking part in the traffic records and traffic safety
communities (nationally and locally) to create data that is understood through consistent
definitions and meanings. Oklahoma’s collision report data provide information for national
collision information systems, either as the sampling frame or as a source of data. Data from
these national systems are utilized in highway safety decision making by agencies at all levels of
government and the private sector such as the automobile industry.
Collisions result in an economic cost of increased insurance rates, increased medical expenses,
loss of property, loss of life and loss of personal income. They produce a drain on law
enforcement in both time and money, and pose a personal risk to every driver, passenger and
pedestrian in Oklahoma.
Your efforts in accurately collecting and reporting collision data will help immeasurably.
17 Revised October 20, 2011
Article I. Collision Report Protocols
Collision report forms are available from the Department of Public Safety or may be printed from
the following website: www.dps.state.ok.us. Adobe Acrobat version 7.0 or above is required.
The DPS records Management Division is not authorized to change an officer’s report. Therefore,
it is imperative that delayed fatality collisions are updated and resubmitted within two weeks of
notification of the fatality. If a person expires within thirty (30) days of the collision as a result of
injuries sustained in the collision, it shall be counted as a traffic fatality, and a revised report shall
be submitted.
The mailing address for collision reports that are not submitted electronically is:
Department of Public Safety
Records Management Division
P. O. Box 11415
Oklahoma City, OK 73136
Collision Report Forms – The pages are as follows:
1. Collision Report - DPS: 0192-01 REV 0107 (-01through -04) (4 pages total)
2. Persons Supplemental - DPS: 0192- SUPP01 REV 0107 (1 page)
3. Diagram Supplemental - DPS: 0192- SUPP02 REV 0107 (1 page)
4. Additional Narrative - DPS: 0192- SUPP03 REV 0107 (1 page)
5. Statement of Witness - DPS: 0192- SUPP04 REV 0107 (1 page)
This section of the Manual will provide general guidelines concerning the completion of the
collision report forms. The guidelines cover procedures and recommendations that should be
used when completing all forms and parts of the collision report.
Throughout the report, “0” or “00” indicate Not Applicable, and ���9” or “99” denote Unknown. All
data sections must have data entered unless otherwise specified.
Data Section – A data section may consist of a data box, a data block, a data block group, an
unstructured data box or a combination of these elements.
Data Box – Some data sections contain individual square(s) designed for indicating an item by
placing an “X” inside it. “X” is the only acceptable entry in these data sections.
18 Revised October 20, 2011
Data Block – Some data sections contain an individual block designed to receive one
alphanumeric character of information.
Data Block Groups – Some data sections contain a group of data blocks.
1. Alphanumeric characters must stay within blocks.
2. Use of capital block letters is required.
3. All boxes are left to right entry beginning in far left.
4. No hyphens/dashes are allowed in any of the data boxes, except for data sections that
allow agency preferences, i.e. Section 10-CASE NUMBER.
Unstructured Data Box – An open field with no data blocks. Neat capital block letters are
required.
Writing Tools – Typewritten or computer generated forms are preferred. If the form is
handwritten, use a black ballpoint or roller-ball pen. The form must be completed in black ink.
Pencils are not allowed, except in the diagram.
Writing Example – Figure Writing Example-1 is an example of the optimal block handwriting for
the form.
Writing Example-1
19 Revised October 20, 2011
Justification – All entries are left justified except where specifically noted.
White-out or correction tape – The use of white-out or correction tape is discouraged. If used, it
is to be used sparingly and neatly. Do not obscure any data.
The Department of Public Safety (DPS) provides two types of forms: a pre-printed form for
handwritten entry and a computer fillable form in PDF format. The pre-printed form can be
obtained from the DPS Supply Division. The computer fillable PDF form can be downloaded from
the DPS web site at www.dps.state.ok.us.
A typewritten or computer generated form shall not contain any handwritten entries except in
Section 213-DIAGRAM or the SUPPLEMENTAL DIAGRAM.
A handwritten form shall not contain any typewritten or computer generated entries except in
Section 213-DIAGRAM or the SUPPLEMENTAL DIAGRAM.
Data sections that are not required for an additional unit shall be left blank, i.e. a collision
containing an odd number of units.
Data sections that are not required for witnesses, property owners or additional occupants shall be
left blank.
For each individual data section, incomplete information shall be considered UNKNOWN. List
partial information in Section 221-REMARKS. Example: Partial License Plate Number.
In an official Work Zone, the closed portion of a roadway is considered to be off roadway.
20 Revised October 20, 2011
Article II. Official Oklahoma Traffic Collision Report
DPS: 0192-01 REV 1209
Article III. Page #1, Top Section
A. DO NOT WRITE IN THIS SPACE:
This space is reserved for use by the Department of Public Safety for assignment of the official identification
number designating each individual report.
1) PG ___ OF ___:
a) This data section shall not be left blank.
b) List each page in relation to the total number of pages of the COMPLETE report. Every collision report shall
be a minimum of four (4) pages. Each side of a single sheet counts as one page.
i) There shall be a minimum of four (4) pages for every two units involved in the collision.
ii) For printed reports, duplex format (printing on both sides of each sheet) is preferred.
c) The collision report shall be sequenced as follows:
i) Pages for units involved in the collision (Example: Unit 1 & Unit 2 information shall consist of pages 1
through 4, Unit 3 information shall consist of pages 5 through 8, etc.).
ii) Persons Supplemental after all the unit pages
iii) Diagram Supplemental
iv) Additional Narrative
v) Statement of Witness
d) “Statement of Witness” forms shall be numbered in sequence, if submitted to the Department of Public Safety.
e) TraCS and CRS collision reports shall not include witness statements when submitted to the Department of
Public Safety. Describe in Section 221-REMARKS where witness statements were stored if they were
completed.
21 Revised October 20, 2011
2) INCIDENT REPORT:
a) This data section shall not be left blank.
b) Indicate “Y” to make a written record and report of an incident involving a motor vehicle. Indicate “N” if the
occurrence being reported is not an incident.
i) Private property, suicide, legal intervention, TVI (Tactical Vehicle Intervention), vehicle weaponry, burned
vehicles (vehicles that catch fire after complete cessation of movement), machinery, deliberate intent,
industrial, medical condition, and other investigations that are NOT CHARGEABLE TRAFFIC
COLLISIONS shall require a report.
ii) An incident can be an injury or damage producing event resulting when a driver dies, loses
consciousness or control of the vehicle because of a medical condition such as a stroke, heart attack,
diabetic coma, epileptic seizure, etc. In such case the immediate effect of the disease, such as the
driver's death, loss of consciousness or control is not itself considered to be an injury resulting from the
collision.
iii) Damage due to cataclysm (cyclone, earthquake, flood, hurricane, tidal wave, tornado, volcanic eruption,
hail, lightning, etc.) SHALL NOT be reported.
iv) A collision between a train and a pedestrian, bicyclist, animal, etc. that does not include a motor vehicle is
considered to be an incident. Any collision involving a train on private property is an incident, regardless
of motor vehicle involvement.
3) INVESTIGATION COMPLETED:
a) This data section shall not be left blank.
b) Indicate “Y” if the investigation is complete at the time the report is made.
c) Indicate “N” for an incomplete investigation when the investigating officer is aware of pertinent information that
has not yet been documented, i.e. hit and run, blood test results, etc.
4) INVESTIGATION MADE AT SCENE:
a) This data section shall not be left blank.
b) Indicate “Y” if the officer investigated the collision at the scene.
c) Indicate “N” if the officer did not investigate the collision at the scene, i.e. information taken by officer
somewhere other than the scene of the collision.
22 Revised October 20, 2011
5) PHOTOGRAPHS:
a) This data section shall not be left blank.
b) Indicate “Y” or “N” to show whether or not photographs were taken for the reporting agency’s investigative
purposes.
c) If ANY photographs were taken for the purpose of the reporting agency’s investigation, identify the
photographer who has possession of the photographs and where they are stored in Section 221-REMARKS.
6) REVISED REPORT:
a) This data section shall not be left blank.
b) Indicate “Y” when a follow-up or corrected report is submitted, so the original report and the corresponding
revised report can be correctly associated. Otherwise indicate “N” on the report.
c) When submitting a revised report to the Department of Public Safety, all pages including the corrected
information shall be submitted.
7) FATALITY:
a) This data section shall not be left blank.
b) Indicate “Y” if one or more persons were killed in the collision. Otherwise indicate “N” on the report.
c) If a person expires within thirty (30) days of the collision as a result of injuries sustained in the collision, it shall
be counted as a traffic fatality, and a revised report must be submitted to the Department of Public Safety.
8) HIT AND RUN:
a) This data section shall not be left blank.
b) Indicate “Y” or “N” to show whether or not the collision was a hit and run.
c) A hit and run refers to cases where the unit or the operator of the unit in transport is a contact unit in the
collision and departs the scene without stopping to render aid or report the collision.
d) A non-contact unit is not considered a hit and run unit.
23 Revised October 20, 2011
Article IV. Page #1, Line 1
9) REPORTING AGENCY:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the agency submitting the report, i.e., Lawton Police Department; McClain
County Sheriff's Office; Oklahoma Highway Patrol; University of Oklahoma Police Department.
ABBREVIATIONS OF CITY OR COUNTY NAMES ARE NOT ACCEPTABLE.
c) You may abbreviate the agency type, i.e. Police Department as P.D., Sheriff’s Office as S.O., etc. Do not use
OHP for Oklahoma Highway Patrol.
10) CASE NUMBER (AGENCY USE):
a) This data section shall not be left blank by the OHP.
b) Fill out the case number as your agency requires.
i) OHP troopers shall enter a nine-digit or a ten-digit case number that consists of the Troop designator, the
Troop collision number and the two-digit year. Examples: “B00001-10” or “XA00001-10”.
c) The case number must be the same on every page of the report.
11) MOTOR VEHICLES INVOLVED:
a) This data section shall not be left blank.
b) Enter the number of motor vehicle(s) that had actual physical contact with another unit or object. AIRCRAFT,
WATERCRAFT, BICYCLES, TRAINS and PEDESTRIANS are not motor vehicles and shall not be counted as
motor vehicles in this data section. Include a leading zero for quantities 0 through 9.
c) For the purpose of this data section only, implements of husbandry, machinery, army tanks, and special
motorized devices (go-carts, snowmobiles, riding lawn mowers, three-wheelers, and four-wheelers) which by
design may not be registered or licensed for road use are considered to be motor vehicles and shall be
included in the total number of motor vehicles involved.
d) The term motor vehicle as applied to a traffic unit refers to the complete traffic unit of which the motor vehicle
is a part and includes any vehicle or trailer (including their loads) being pushed or towed by the motor vehicle.
If any part of a traffic unit of this type is involved in a collision to the extent of inflicting/receiving injury or
24 Revised October 20, 2011
damage to/upon any person or property, the motor vehicle doing the hauling, pushing, or towing is considered
as the traffic unit and should be shown as such. (ANSI D16 1-1996, sections 2.2.7 through 2.2.26)
e) If a driverless, towed vehicle or a driverless, pushed vehicle is damaged, describe this vehicle in the Remarks
Section, i.e., color, year, make, model, VIN, license tag. Example: If a motor vehicle is towing another vehicle
and the towed vehicle inflicts or receives injury or damage, the motor vehicle doing the towing would be
considered as the actual unit in the collision. This applies even though the towed vehicle might have become
detached prior to the actual impact if the towed vehicle is still moving under impetus from the motor vehicle
doing the towing.
f) If the towed or pushed vehicle is occupied by a driver who is controlling the vehicle, this unit would be listed
as a separate unit in and of itself and would be shown in the appropriate Unit section of the Collision Report
Form.
g) Do not include non-contact vehicles. Non-contact vehicles may or may not be recorded on collision reports.
Information about a non-contact vehicle may be recorded for legal purposes, but such vehicles are not
counted for statistical purposes.
12) NUMBER INJURED:
a) This data section shall not be left blank.
b) Enter “00” if no person was injured.
c) Enter the total number of persons known to be injured in the collision.
i) Include a leading zero for quantities 0 through 9.
ii) Injured persons are those who have an injury severity of: 2) Possible, 3) Non-incapacitating or 4)
Incapacitating.
iii) Do not count fatalities.
d) For purposes of THIS DATA SECTION an unborn child that is injured as a result of a traffic collision is not to
be included in the number injured. List this occurrence in Section 221- REMARKS.
13) NUMBER KILLED:
a) This data section shall not be left blank.
b) Enter “00” if no person was killed.
c) Enter the total number of persons killed.
i) If a person expires within thirty (30) days of the collision as a result of injuries sustained in the collision, it
is counted as a traffic fatality.
ii) Included a leading zero for quantities 0 through 9.
iii) Fatalities are persons who have an injury severity of 5) Fatality.
d) For purposes of THIS DATA SECTION an unborn child that ceases to live as a result of a traffic collision is
not to be included in the number killed. List this occurrence in Section 221- REMARKS.
Article V. Page #1, Line 2
25 Revised October 20, 2011
14) DATE:
a) This data section shall not be left blank.
b) Enter the month, day and year of the date the collision occurred. Enter in a two-digit Month (01-12), two-digit
Day (01-31), and a four-digit year. Do not include spaces, hyphens or any other separators. Example:
04082007.
c) Enter the date the collision was reported or discovered, if the exact date the collision occurred is unknown.
Explain the circumstances in Section 221-REMARKS.
15) TIME:
a) Enter the time of day the collision occurred using 24-hour military time. Example: 0720, 1930. See Table 15-
1. Do not use a colon or any other separator.
b) Enter “9999” if not using TraCS or CRS and the exact time the collision occurred is unknown.
c) Leave this data section blank if using TraCS or CRS and the exact time the collision occurred is unknown.
TraCS and CRS will convert the blank to “9999” in the displayed or printed PDF.
d) Explain the circumstances of an unknown time of collision in Section 221-REMARKS.
26 Revised October 20, 2011
Time
MILITARY TIME
(Midnight to noon)
12 HOUR TIME
(Midnight to noon)
MILITARY TIME
(Noon to midnight)
12 HOUR TIME
(Noon to midnight)
0000
MIDNIGHT
1200
NOON
0001
One minute after midnight
1201
One minute after noon
0015
Fifteen minutes past midnight
1215
Fifteen minutes past noon
0045
45 minutes past midnight
After noon, add the hour and minute to 1200
0100
One o’clock in the morning
1300 (Add 100 to 1200)
1 p.m.
0130
One thirty in the morning
1345 (Add 145 to 1200)
1:45 p.m.
0200
2 a.m.
1400 (Add 200 to 1200)
2 p.m.
0300
3 a.m.
1500 (Add 300 to 1200)
3 p.m.
0400
4 a.m.
1600 (Add 400 to 1200)
4 p.m.
0500
5 a.m.
1700 (Add 500 to 1200)
5 p.m.
0600
6 a.m.
1800 (Add 600 to 1200)
6 p.m.
0700
7 a.m.
1900 (Add 700 to 1200)
7 p.m.
0800
8 a.m.
2000 (Add 800 to 1200)
8 p.m.
0900
9 a.m.
2100 (Add 900 to 1200)
9 p.m.
1000
10 a.m.
2200 (Add 1000 to 1200)
10 p.m.
1100
11 a.m.
2300 (Add 1100 to 1200)
11 p.m.
Blank (TraCS and CRS) Unknown
9999 (All other reports) Unknown
Table 15-1
16) COUNTY NUMBER:
a) This data section shall not be left blank.
b) Enter the county number of the county in which the first injury or damage producing event occurred. (See
Appendix A)
17) COUNTY NAME:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the county in which the first injury or damage producing event occurred. NO
ABBREVIATIONS. (See Appendix A)
18) IN / NEAR CITY:
a) This data section shall not be left blank.
b) Indicate “In” when the collision occurs within the city/town limits.
c) Indicate “Near” when the collision occurs outside the city/town limits.
27 Revised October 20, 2011
d) If the collision occurs on or near a boundary line, assign the collision to the area in which the first injury or
damage producing event occurred.
19) CITY / TOWN NUMBER:
a) This data section shall not be left blank.
b) Enter “00” for the city/town number if the collision occurred outside the city/town limits.
c) Enter the city/town number if the collision occurred within the city/town limits. (See Appendix A)
20) CITY / TOWN NAME:
a) This data section shall not be left blank.
b) Enter the COMPLETE name of the city/town in or near the collision location. If the collision occurs outside a
city/town limits, the nearest city/town may be in a different county. (See Appendix A) NO ABBREVIATIONS.
Article VI. Page #1, Line 3
21) DISTANCE FROM CITY / TOWN:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter the distance North or South from the municipal limits of the city/town listed in Section 20-CITY/TOWN
NAME if the collision occurred outside the city/town limits.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
28 Revised October 20, 2011
22) MILES / FEET:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 21-DISTANCE FROM
CITY/TOWN, if the collision occurred outside a city/town limits.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
23) N-S:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance North or
South of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter “N” or “S” to indicate the direction from the nearest city/town limits, if the collision occurs outside the
city/town listed in Section 20-CITY/TOWN NAME.
24) DISTANCE FROM CITY / TOWN:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter the distance East or West from the municipal limits of the city/town listed in Section 20-CITY/TOWN
NAME if the collision occurred outside the city/town limits.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
Examples:
“2.4 Miles North and 1.0 Mile East”
29 Revised October 20, 2011
“120 Feet South”
25) MILES / FEET:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 21-DISTANCE FROM
CITY/TOWN, if the collision occurred outside a city/town limits.
Examples:
“2.4 Miles North and 1.0 Mile East”
“120 Feet South”
26) E-W:
a) This data section shall be left blank if the collision occurred within a city/town limits or the distance East or
West of the city/town listed in Section 20-CITY/TOWN NAME is zero.
b) Enter “E” or “W” to indicate the direction from the nearest city/town limits, if the collision occurs outside the
city/town listed in Section 20-CITY/TOWN NAME.
27) CONTROL NUMBER:
FOR STATE AND U.S. HIGHWAYS ONLY (Reference Point System)
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00” if the control number does not apply or if the collision occurred within city/town limits.
30 Revised October 20, 2011
d) Enter the control number, if applicable.
i) The reference point system calls for placement of primary markers along the rural, state, and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Primary markers are signs which identify the county, the control section, and the log mile from the
beginning of the control section. They are structured with three tiers of numbers that are ordered in three
rows.
(1) Top Row –County Number – Whole number matching the county list in Appendix A.
(2) Middle Row – Control Section Number.
(3) Bottom Row – Mile Post – Denotes the distance in miles from the beginning of the control section.
iii) Primary markers are placed at
(4) Intersections where county roads intersect with state highways or U.S. highways on the back of stop
signs or some other permanent fixture at that intersection.
(5) Each approach to bridge structures.
iv) Primary markers begin with “zero mile” point at the beginning of control section and progress generally to
the east or north depending on the orientation of the highway.
28) INT ID:
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00” if the intersection ID number does not apply or if the collision occurred within a city/town limits.
d) Enter the intersection ID number, if applicable.
i) The reference point system calls for placement of Intersection markers along the rural, state and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Intersection markers are used to identify the intersection of two state highways, two U.S. highways or a
state and a U.S. highway. They are structured with two tiers of numbers that are ordered in two rows.
(1) Top Row – County Number – Whole number matching the county list in Appendix A.
(2) Bottom Row – Intersection Number – Denotes the intersection number.
iii) Intersection markers are found only at applicable intersections and are not usually on tall signs (like stop
signs), but are on short signs in the ground.
29) LOCATION:
31 Revised October 20, 2011
a) This data section shall not be left blank by the OHP.
b) This data section may be left blank for agencies other than the OHP.
c) Enter “00.00” if the location number does not apply or if the collision occurred within a city/town limits.
d) Enter the location number, if applicable.
i) The reference point system calls for placement of primary markers along the rural, state, and federal
highway system in accordance with the already established control system. (Does not include the
interstate highway system or the turnpike system). The reference point system gives the investigating
officer some definite points from which to orient the collision.
ii) Primary markers are signs which identify the county, the control section, and the log mile from the
beginning of the control section. They are structured with three tiers of numbers that are ordered in three
rows.
(1) Top Row –County Number – Whole number matching the county list in Appendix A.
(2) Middle Row – Control Section Number.
(3) Bottom Row – Mile Post – Denotes the distance in miles from the beginning of the control section.
iii) Primary markers are placed at
(1) Intersections where county roads intersect with state highways or U.S. highways on the back of stop
signs or some other permanent fixture at that intersection.
(2) Each approach to bridge structures.
iv) Primary markers begin with “zero mile” point at the beginning of control section and progress generally to
the east or north depending on the orientation of the highway.
v) When reporting the collision location using a primary marker, the location number will be as shown on the
marker if the collision occurs within a 250 foot radius of the primary marker.
vi) If the collision occurs more than 250 feet from the marker, the location number is determined by adding or
subtracting to/from the log mile on the primary marker.
Example:
Log Mile 5.00
Subtract Distance to Marker (0.30)
Location 04.70
30) COUNTY SECTION LINE GRIDS (East Grid):
a) This data section shall not be left blank by the OHP.
b) The use of grid locations is determined by individual agency policy and may be left blank for agencies other
than the OHP.
c) Enter the East grid number.
i) East grid lines are assigned odd numbers.
ii) The grid number starts in the real or imaginary southwest corner of each map. Use the nearest tenth of a
mile in recording the grid locations.
32 Revised October 20, 2011
31) COUNTY SECTION LINE GRIDS (North Grid):
a) This data section shall not be left blank by the OHP.
b) The use of grid locations is determined by individual agency policy and may be left blank for agencies other
than the OHP.
c) Enter the North grid number.
i) North grid lines are assigned even numbers.
ii) The grid number starts in the real or imaginary southwest corner of each map. Use the nearest tenth of a
mile in recording the grid locations.
32) ADMINISTRATIVE:
Figure 30-1
Figure 31-1
33 Revised October 20, 2011
a) This data section shall be left blank. This space is reserved for administrative purposes.
Article VII. Page #1, Line 4
33) STREET, ROAD OR HIGHWAY:
a) This data section shall not be left blank.
b) Enter the official name or number of the street or highway where the collision occurred.
i) When two Interstate highways travel the same route, use the lowest numbered Interstate number.
ii) When an Interstate highway and a U.S. highway travel the same route, use the Interstate number.
iii) When two or more U.S. highways travel the same route, use the lowest numbered U.S. highway.
iv) When a U.S. highway and a state highway travel the same route, use the U.S. highway number.
v) When two or more State Highways travel the same route, use the lowest numbered state highway.
vi) When the collision occurs on a county road, enter "COUNTY ROAD" and any assigned identifying name
or number in parenthesis after COUNTY ROAD, if known.
Example: COUNTY ROAD (ROSS ROAD)
COUNTY ROAD (EW 117)
vii) In the event the collision occurs on a named or numbered street and the roadway is also designated as a
federal or state highway. If possible, indicate the name of the street in parenthesis after the highway
number.
Example: SH66 (Second Street).
viii) Enter “PRIVATE PROPERTY” if the collision is not on a public street, public road or public highway
ix) For reporting purposes, public roadways include those in private developments and gated communities,
etc. that allow public access of the roadway.
x) The following abbreviations are acceptable in this data section:
(1) “SH” for State Highway (Example: SH33)
(2) “US” for United States Highway (Example: US75)
(3) “I” for Interstate (Example: I35)
(4) “TP” for Turnpike (Example: Turner TP)
34) AT:
a) Indicate “At” when the collision occurs in an intersection or on private property at a specific address. This
does not include a collision which occurs beneath an overpass or above an underpass.
b) For the purpose of the report, an intersection is defined as an area which
i) Contains a crossing or connection of two or more roadways not classified as driveway access and
34 Revised October 20, 2011
ii) Is embraced within the prolongation of the lateral curb lines or, if none, the lateral boundary lines of the
roadways.
c) Where the distance along multiple roadways between two areas meeting these criteria are less than 10
meters (33 feet), the two areas and the roadways connecting them are considered to be parts of a single
intersection.
d) For reporting purposes, public roadways include those in private developments and gated communities, etc.
that allow public access of the roadway.
Figure 34-1
35 Revised October 20, 2011
35) DISTANCE FROM INTERSECTING STREET, ROAD OR HIGHWAY:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Enter the distance from the nearest intersecting street, road, highway, etc. if the collision did not occur “At” an
intersection and the collision did not occur on private property “At” a specific address.
i) The measurement shall be recorded with four digits utilizing leading zero(s), if needed.
ii) If the distance is in miles, the fourth digit represents tenths of a mile.
iii) If the distance is in feet, there is no fractional value.
c) NOTE: The distance should match your reported POI or AOI in the Section 221-REMARKS.
36) MILES / FEET:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Indicate “Mi.” or “Ft.” depending on the unit of measurement utilized in Section 35-DISTANCE FROM
INTERSECTING STREET, ROAD OR HIGHWAY, if the collision did not occur “At” an intersection or the
collision did not occur on private property “At” a specific address.
37) N-S, E-W:
a) This data section shall be left blank if Section 34-AT indicates the collision occurred “At” an intersection or on
private property “At” a specific address.
b) Indicate “N”,”S”, “E”, “W” or “NE”, “NW”, “SE” or “SW” from the nearest intersection or roadway, if the collision
did not occur “At” an intersection or the collision did not occur on private property “At” a specific address.
38) (NEAREST) INTERSECTION STREET, RD OR HIGHWAY:
a) This data section shall not be left blank.
b) Enter the official name of the intersecting street or highway if the collision occurred “At” an intersection.
i) Enter “COUNTY ROAD” and any assigned identifying name or number in parenthesis after COUNTY
ROAD, if known, when the intersecting street or road is a county road.
Example: COUNTY ROAD (ROSS ROAD)
COUNTY ROAD (EW 117)
36 Revised October 20, 2011
c) Enter the name of the nearest intersecting street or highway, if the collision WAS NOT in an intersection.
Mile markers and identification numbers of bridges, overpasses, and underpasses on interstates and
turnpikes are permissible.
i) For this data section, do not use serialized utility pole numbers.
ii) For private property collisions:
(1) Enter the address of the property, if known.
(2) Enter the nearest public street, road or highway, if address is unknown.
d) For reporting purposes, public roadways include those in private developments and gated communities, etc.
that allow public access of the roadway.
e) The following abbreviations are acceptable in this data section:
i) “SH” for State Highway (Example: SH33)
ii) “US” for United States Highway (Example: US75)
iii) “I” for Interstate (Example: I35)
iv) “TP” for Turnpike (Example: Turner TP
Article VIII. Page #1, Line 5
39) UNIT:
a) This data section shall not be left blank.
b) Units shall be listed sequentially beginning with non-contact units, if any are involved, followed by contact
units.
i) Non-contact units shall be labeled sequentially “A”, “B”, etc. (include a leading zero for all non-contact
units).
ii) Contact units shall be labeled “1” to “99” (include a leading zero for contact units numbered “1” to “9”).
iii) Entry of a leading zero is not required for any unit, if using TraCS or CRS.
iv) The number or letter assigned to the unit has no meaning other than identification.
c) Definitions of Contact and Non-Contact unit.
i) Contact unit: A contact unit is any unit that comes into contact with one or more units, or property in a
collision. A contact unit is directly involved in a collision. An example of a contact unit is:
(1) If a vehicle is carrying a load, the load is considered to be part of the vehicle. If the load shifts or falls
off the vehicle and strikes another vehicle, the vehicle with the load is a contact unit.
ii) Non-contact unit: A non-contact unit is any unit other than a contact unit that contributes (directly or
indirectly) to the collision. Some examples of a non-contact unit are:
(1) A vehicle changes lanes into the path of another vehicle (without making contact) causing a collision.
The vehicle changing lanes is a non-contact unit.
(2) A pedestrian darts into the roadway causing a motor vehicle to stop suddenly without striking the
pedestrian. A following vehicle swerves to avoid the stopped vehicle and collides with a fixed object.
The first vehicle and the pedestrian are non-contact units.
37 Revised October 20, 2011
40) OCCUPANTS:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “P”, “X” or “A” or
(1) A pedestrian conveyance “X” is not a transport vehicle (ANSI D16.1 Section 2.1.3, Edition 2007).
ii) Section 41-UNIT TYPE is “D”, “C” or “T” and there are no occupants.
c) Enter “99” if the number of persons in or on the unit is unknown.
d) Enter “1” through “97” to indicate the number of persons in or on the unit, including the driver if Section 41-
UNIT TYPE is “D”, ”B”, “Z”, “C”, or “T”. Include a leading zero for quantities 1 through 9.
e) Enter “98” if the number of persons in or on the unit exceeds ninety-seven, including the driver if Section 41-
UNIT TYPE is “D”, “B”, “Z”, “C”, or “T”. List the exact number of persons in Section 221-REMARKS.
Transport vehicle (ANSI D16.1 Section 2.1.4, Edition 2007): A transport vehicle consists of one or more
devices or animals and their load. Such devices or animals must include at least one of the following:
a. a transport device, or a unit made up of connected transport devices, while idle or in use for moving
persons or property from one place to another,
b. an animal or team of animals while in use for moving persons or property other than the animal or team
itself from one place to another, or
c. a movable device such as construction, farm, or industrial machinery outside the confines of a building
and its premises while in use for moving persons, the device itself, or other property from one place to
another.
If such a device or animal has a load, the load is part of that transport vehicle. Loads include:
— persons or property upon, or set in motion by, the device or animal
— persons boarding or alighting from the device or animal
— persons or property attached to and in position to move with the device or animal
If the load upon a transport device includes another transport device, the entire unit including the load is
considered to be a single transport vehicle. With the exception of the following:
— Pickup truck while being used to power a saw
— Dump truck while spreading its load
— Tow truck while using its winch
— Jeep while pulling a device picking up golf balls
— Transit-mix concrete truck while discharging its load
— Dump truck while plowing snow
— And others
38 Revised October 20, 2011
41) UNIT TYPE:
a) This data section shall not be left blank.
b) Enter the appropriate unit type into the data box.
i) D - Driver - A driver unit is a transport vehicle that has an occupant who is in actual physical control or, for
an out-of-control vehicle, had an occupant who was in control until control was lost.
(1) A disabled, stopped or parked transport vehicle on the roadway is a “D” unit, whether occupied or
unoccupied.
(2) A working vehicle stopped on or off the roadway is a “D�� unit, whether occupied or unoccupied. An
extended definition of a working vehicle is in Appendix D.
ii) P - Pedestrian - Any person afoot. For an example of a filled collision report involving a pedestrian, see
Appendix H. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s
name and address in vehicle owner’s section (Sections 96-103).
iii) X - Pedestrian Conveyance – A pedestrian conveyance is a device, other than a transport device, used
by a pedestrian for personal mobility assistance or recreation. These devices can be motorized or human
powered, but not propelled by pedaling (ANSI-D16.1, 2.2.6.1). Examples would be a Segway or other
scooter. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s name
and address in vehicle owner’s section (Sections 96-103).
iv) B - Bicyclist - A device propelled by pedaling upon which one or more person(s) may ride, having two
tandem wheels. In the case of a minor (17 years of age or younger), list the parent’s or legal guardian’s
name and address in vehicle owner’s section (Sections 96-103).
v) Z - Other Cyclist – A device propelled by pedaling upon which one or more person(s) may ride, having
other than two wheels. In the case of a minor (17 years of age or younger), list the parent’s or legal
guardian’s name and address in vehicle owner’s section (Sections 96-103).
vi) C - Parked Car – A motor vehicle not in transport, other than a working vehicle, that is not in motion and
not located on the roadway. (ANSI D16.1, Section 2.2.34.2, Edition 2007). An extended definition of
working vehicle may be found in Appendix D. For an example of a filled collision section with parked car,
see Appendix H.
(1) A “C” unit is a legally or illegally parked unit that is not on the roadway.
(2) A “D” unit is a legally or illegally parked unit on the roadway.
vii) A - Animal - A collision involving an animal that is not occupied. For an example of a filled collision
section with animal, see Appendix H.
(1) A collision with an animal may or may not be an incident.
(2) A report must be completed if there is five hundred dollars ($500.00) or more in total property
damage; OR personal injury resulting from a collision with an animal.
(3) This section applies to both domestic and wild animals.
viii) T - Train - A steam engine, diesel, electric or other motor, with or without cars coupled thereto, operated
upon rails, except streetcars on trafficway. For example of a filled collision section with a train, see
Appendix H.
39 Revised October 20, 2011
(1) A high rail car or railway maintenance vehicle operated on rails shall be designated as a train.
(a) A high rail car is a vehicle equipped with tire and rail wheels which can be operated on roads or
rails.
(b) Note in Section 221-REMARKS if the unit is a high rail car or railway maintenance vehicle.
(2) The conductor is in charge of the train while it is operating, therefore his/her information shall be
recorded in Sections 122-151.
42) HIT & RUN:
a) This data section shall be left blank if this is not a hit and run unit, or if Section 41-UNIT TYPE is “A”.
b) Indicate if this is a hit and run unit, if Section 41-UNIT TYPE is “D”, “P”, “X”, “B”, “Z”, “C” or “T”.
i) For reporting purposes, a non-contact vehicle cannot be a hit and run unit.
ii) If the driver leaves or abandons the vehicle at the scene of the collision, it is still a hit and run unit.
43) COMMERCIAL MOTOR VEHICLE:
a) This data section shall be left blank if the unit is not a commercial motor vehicle or Section 41-UNIT TYPE is
“P”, “X”, “B”, “Z”, ‘A”, “T”.
b) Indicate if this unit is a commercial motor vehicle, if Section 41-UNIT TYPE is “D” or “C”.
c) A Commercial Motor Vehicle is defined as a vehicle used for commerce/business and has a GVWR/GCWR in
excess of 10,000 lbs., or is required to have a hazmat placard, or is a bus with seating for nine or more
including the driver. The definition of a Commercial Motor Vehicle is not dependent on the license plate
displayed on the vehicle.
GVWR - Gross Vehicle Weight Rating - The GVWR is the rating issued by the vehicle manufacturer and is the
combination of the vehicles actual weight and the maximum recommended cargo weight.
The GVWR of a vehicle can be located on most single unit or powered vehicles on a manufacturer’s
plates or on the Nader sticker.
The vehicle registration certificate IS NOT an appropriate source of the GVWR. The weight recorded
on the registration certificate is the legal registered combined weight of the vehicle.
GCWR – Gross Combination Weight Rating - The GCWR is the combination of GVWRs from two or more
vehicles which include the tow vehicle and the vehicles being towed.
This is the combination of the GVWR’s of the towing and towed vehicles. In the absence of a GCWR
specified by the shipper, GCWR should be determined by adding the GVWR of the power (towing)
unit and the total weight of the towed unit(s) and any load thereon.
Generally, a single (straight) truck has a GVWR; any combination of trucks and trailers has a GCWR,
the manufacturer’s Gross Vehicle Weight Rating for the trailer or trailers combined.
40 Revised October 20, 2011
44) LAST NAME:
a) This data section shall not be left blank.
b) Enter “UNKNOWN” if
i) The last name is unknown and Section 41-UNIT TYPE is “D”, “B”, “Z”, “P”,“X”, “C”, “T” or
ii) The type of animal(s) is unknown and Section 41-UNIT TYPE is “A”.
c) Enter the Last Name of the driver, if known, and Section 41-UNIT TYPE is “D”, “B”, “Z” or “C”.
i) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, then enter the changed name.
ii) Enter the last name of the person responsible for parking the unit listed in Section 39-UNIT if the unit is
parked.
d) Enter the Last Name of the pedestrian, if known, and Section 41-UNIT TYPE is “P” or “X”.
e) Enter the type and number of animal(s), if known, and Section 41-UNIT TYPE is “A”.
f) Enter the Last Name of the engineer, if known, and Section 41-UNIT TYPE is “T”.
g) If using TraCS or CRS, enter the first 20 characters of the Last Name in this data section. Document the
complete last name in the Section 221-REMARKS, if additional space is needed.
45) FIRST NAME:
a) Leave this data section blank if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) First Name is unknown.
b) Enter the First Name of the person listed in Section 44-LAST NAME, if known.
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
46) MIDDLE:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Middle Name is unknown or nonexistent.
b) Enter the Middle Name(s) of the person listed in Section 44-LAST NAME, if known.
41 Revised October 20, 2011
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
47) SUFFIX:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Suffix is unknown or nonexistent.
b) Enter the Suffix (Jr., Sr., III, etc.) of the person listed in Section 44-LAST NAME, if known. Do not enter titles
such as Mr., Mrs., Ms., etc.
c) Use name as it appears on the driver license unless a driver license check with the Department of Public
Safety indicates it has been changed, enter the changed name.
d) The suffix shall be entered after the Middle Name (Section 46-MIDDLE) if no suffix data section is available.
48) DATE OF BIRTH: MM/DD/YYYY:
a) Leave this data section blank, if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Section 41-UNIT TYPE is ���A” or
iii) Date of Birth is unknown.
b) Enter the month, day and year of birth of the person listed in Section 44-LAST NAME. Enter in a two-digit
Month (01-12), two-digit Day (01-31) and a four-digit Year. Do not include spaces, hyphens or any other
separators. Example: 04082007.
49) DRIVER’S SEX:
a) Leave this data section blank if Section 41-UNIT TYPE is “A”.
b) Enter “9” if the sex of the person listed in Section 44-LAST NAME is unknown.
c) Enter “M” or “F” to indicate the sex of the person listed in Section 44-LAST NAME.
42 Revised October 20, 2011
Article IX. Page #1, Line 6
50) ADDRESS:
a) This data section shall not be left blank.
b) Enter “UNKNOWN” if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Address is unknown.
c) Enter the correct and current address of the person listed in Section 44-LAST NAME, if known.
i) Enter the railroad company address of the engineer’s employer if Section 41-UNIT TYPE is “T”.
d) Enter the color and weight of the animal(s) if Section 41-UNIT TYPE is “A”.
51) CITY:
a) Leave this data section blank if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) City is unknown.
b) Enter the correct and current city of the person listed in Section 44-LAST NAME, if known.
i) Enter the railroad company city if Section 41-UNIT TYPE is “T”.
ii) Abbreviations are not allowed.
52) STATE:
a) Leave this data section blank if Section 41-UNIT TYPE is “A”.
b) Enter “99” if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) State is unknown.
c) Enter the correct and current state abbreviation of the person listed in Section 44-LAST NAME, if known (See
Appendix B).
43 Revised October 20, 2011
i) Enter the railroad company state if Section 41-UNIT TYPE is “T”.
ii) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
iii) Enter “CN” if Canadian province is unknown.
iv) Enter “MX” if Mexican state is unknown.
d) Enter “98” for countries other than U.S., Canada and Mexico and explain in the Section 221-REMARKS.
53) ZIP CODE:
a) Leave this data section blank if
i) Section 50-ADDRESS is “UNKNOWN” or
ii) Section 41-UNIT TYPE is “A” or
iii) Address is not in the U.S. or
iv) Zip Code is unknown.
b) Enter the five digit ZIP code for a U.S. address, if known.
i) Enter the railroad company zip code if Section 41-UNIT TYPE is “T”.
ii) A list of Oklahoma ZIP codes is provided in Appendix J.
54) TELEPHONE NUMBER:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “A” or
ii) The person listed in Section 44-LAST NAME does not have a phone number or
iii) The person listed in Section 44-LAST NAME resides outside the U.S.
b) Enter “9” in the far left of the data section if telephone number is unknown.
c) Enter the telephone number of the person listed in Section 44-LAST NAME including the area code.
i) Enter the telephone number of the railroad company if Section 41-UNIT TYPE is “T”.
ii) A list of area code prefixes for Oklahoma cities is provided in Appendix K.
iii) Do not enter spaces, hyphens or any other separators.
Article X. Page #1, Line 7
44 Revised October 20, 2011
55) DRIVER LICENSE NUMBER:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
b) Enter “0” if the far left of the data section if Section 41-UNIT TYPE is “D” or “C” and
i) Person listed in Section 44-LAST NAME does not have a driver license or a set-up number or
ii) Person listed in Section 44-LAST NAME is not required to have a driver license.
c) Enter “9” in the far left of the data section if driver license number is unknown.
d) Enter the driver license or set-up number, if Section 41-UNIT TYPE is “D” or “C”, and the number is known.
i) Do not use Social Security Number (unless same as driver license number), State ID or any other
number.
ii) Enter the driver license number if the person listed in Section 44-LAST NAME has a driver license
number and a set-up number.
iii) Do not enter spaces, hyphens or any other separators.
56) DRIVER LICENSE STATE:
a) Leave this data section blank if Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9”.
b) Enter the two-digit abbreviation for the state issuing the driver license listed in Section 55-DRIVER LICENSE
NUMBER (See Appendix B).
i) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
ii) Enter “CN” if Canadian province is unknown.
iii) Enter “MX” if Mexican state is unknown.
c) Enter “98” for countries other than U.S., Canada and Mexico and explain in Section 221-REMARKS.
57) CLASS:
a) Leave this data section blank if Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9”.
b) Enter “0” if Section 55-DRIVER LICENSE NUMBER contains an Oklahoma set-up number.
c) Enter “9” if Class of the Driver License is unknown.
d) Enter the Class of the Driver License.
i) Oklahoma Driver License Classes are (“A”, “B”, “C” or “D”).
ii) Enter the first digit of the Class for Driver License Classes longer than one digit and record the entire
Class in Section 221-REMARKS.
45 Revised October 20, 2011
58) ENDORSEMENT(S):
59) ENDORSEMENT(S):
60) ENDORSEMENT(S):
a) Leave this data section blank if
i) Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9” or
ii) Endorsements are unknown or
iii) There are no endorsements.
b) Enter the three most applicable endorsements if there are endorsements.
i) If there are more than three endorsements, list remaining endorsements in the Section 221-REMARKS.
61) RESTRICTION(S):
62) RESTRICTION(S):
63) RESTRICTION(S):
a) Leave this data section blank if
i) Section 55-DRIVER LICENSE NUMBER is blank, “0” or “9” or
ii) Restrictions are unknown or
iii) There are no restrictions.
b) Enter the three most applicable restrictions if there are restrictions.
i) If there are more than three restrictions, list remaining restrictions in the Section 221-REMARKS.
64) INJURY SEVERITY:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “A” or
iii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if injury severity is unknown.
46 Revised October 20, 2011
d) Enter the injury severity level for the person listed in Section 44-LAST NAME if Section 39-UNIT is a contact
unit and Section 41-UNIT TYPE is not “A”.
i) Enter “1” if the person has no injuries.
ii) Enter “2”, “3” or “4” if the person is injured.
• “2” -- Possible Injury - An injury reported or claimed which is not a fatal injury, incapacitating injury or
non-incapacitating evident injury.
• “3” -- Non-incapacitating Injury - Evident Injury - Any injury, other than a fatal injury or an
incapacitating injury, which is evident to observers at the scene of the accident in which the injury
occurred.
• “4” -- Incapacitating Injury - Any injury, other than a fatal injury, which prevents the injured person
from walking, driving or normally continuing the activities the person was capable of performing
before the injury occurred.
iii) Enter “5” if the person is fatally injured (death occurs within 30 days of the date of the collision).
e) In the case of a medical condition, use this data section to indicate the condition of the person listed in
Section 44-LAST NAME, even though there is no injury from the collision.
65) TYPE OF INJURY:
66) TYPE OF INJURY:
67) TYPE OF INJURY:
68) TYPE OF INJURY:
69) TYPE OF INJURY
a) This data section shall not be left blank.
b) Enter “0” in the far left of the data section, if Section 64-INJURY SEVERITY is “0” or “1”.
c) Enter “9” in the far left of the data section, if type of injury is unknown.
d) Enter up to five types of injury, if Section 64-INJURY SEVERITY is “2”, “3”, “4”, or “5”.
• “1” -- Head -Any injury, visible or not, to that part of the body above the shoulders. This includes the neck.”
• “2” -- Trunk-External - Any injury to the trunk that is a visible open wound. This would include cuts, bruises
and abrasions.
• “3” --Trunk-Internal - Any injury to that part of the body exclusive of the head, arms and legs that is not a
visible external injury. This would include crushed chest, painful breathing, abnormal swelling, etc.
• “4” – Arms - Any injury to the arms.
• “5” – Legs - Any injury to the legs.
47 Revised October 20, 2011
70) DRIVER/PEDESTRIAN CONDITION:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “A” or
ii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “99” if
i) Section 44-LAST NAME is “UNKNOWN” or
ii) Condition of person listed in Section 44-LAST NAME is unknown. Detail in Section 221-REMARKS.
d) Enter the most relevant condition of the person listed in Section 44-LAST NAME.
71) OCCUPANT PROTECTION SYSTEM USE:
a) This data section shall not be left blank.
b) Enter “00” if
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
ii) Section 41-UNIT TYPE is “D” or “C” and an occupant protection system was not originally required or
manufactured for the unit or
iii) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “99” if
i) Section 41-UNIT TYPE is “D” or “C” and Section 44-LAST NAME is “UNKNOWN” or
ii) Occupant protection system use is unknown.
d) Enter the appropriate option to describe the occupant protection system in use by person listed in Section 44-
LAST NAME if Section 41-UNIT TYPE is “D” or “C” and occupant protection system use is known.
48 Revised October 20, 2011
Article XI. Page #1, Line 8
72) AIR BAG:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) Vehicle is not equipped with air bags or
v) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and air bag deployment is unknown.
d) Enter the appropriate option to describe the air bag deployment for the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Air bag deployment is known.
73) EJECTED:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and ejection is unknown.
49 Revised October 20, 2011
d) Enter the appropriate option “1”, “2”, or “3” to describe the ejection for the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Section 89-VEHICLE CONFIGURATION is not “15”, “16” and “19” and
iii) Ejection is known.
(1) Partial ejection occurs when all movement stops and the person is partially outside the vehicle.
74) EXTRICATED:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or.
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T” or
iii) Section 89-VEHICLE CONFIGURATION is “15”, “16” or “19” or
iv) If the person listed in Section 44-LAST NAME is not in the driver position of the unit.
c) Enter the appropriate option “1” or “2” to indicate the extrication of the person listed in Section 44-LAST
NAME if the listed person is occupying the driver’s position of the unit and
i) Section 41-UNIT TYPE is “D” or “C” and
ii) Section 89-VEHICLE CONFIGURATION is not “15”, “16” and “19” and
(1) Extrication is the removal of an occupant who is physically pinned in the vehicle by damaged vehicle
components as a result of a collision, and is freed or removed from the vehicle.
(2) Extrication refers to the use of equipment or other force to remove an occupant from the vehicle,
more than just lifting or carrying an occupant from wreckage.
75) CHEMICAL TEST:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 41-UNIT TYPE is “A” or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z” or “T” and a chemical test is not given.
c) Enter “5” if Section 41-UNIT TYPE is “D” or “C” and a chemical test is not given.
d) Enter “4” if a chemical test is refused.
50 Revised October 20, 2011
e) Enter the appropriate selection “1”, “2”, “3”, or “6” if a chemical test is given.
f) This does not include federally mandated or company mandated tests.
g) Enter description of “Other” in Section 221-REMARKS.
76) PERCENT BLOOD ALCOHOL CONCENTRATION (BAC):
a) Leave this data section blank if
i) Section 75-CHEMICAL TEST is “0”, “4” or “5” or
ii) BAC test result is unknown at the time of the report.
b) Enter the BAC test result if known.
c) If a BAC test result is pending, a revised report must be submitted to the Department of Public Safety within
two weeks of receipt of the BAC test result.
77) TRANSPORTED BY:
a) Leave this data section blank if Section 64-INJURY SEVERITY is “0”, “1” or “9”.
b) Enter “REFUSED” if Section 64-INJURY SEVERITY is “2”, “3” or “4” and transportation to a medical facility
was refused.
c) Enter “POV” if Section 64-INJURY SEVERITY is “2”, “3” or “4” and transportation is provided by privately
owned vehicle to a medical facility.
d) Enter the type and identity of unit providing transportation to a medical facility if Section 64-INJURY
SEVERITY is “2”, “3” or “4”. Abbreviations are allowed.
e) Enter the transporting entity if Section 64-INJURY SEVERITY is “5”. Abbreviations are allowed.
78) TO MEDICAL FACILITY:
a) Leave this data section blank if Section 77-TRANSPORTED BY is blank or “REFUSED”.
b) Enter the name of the medical facility to which the injured person was transported. Abbreviations are allowed.
c) Enter the name of the facility to which the deceased was transported. Abbreviations are allowed.
51 Revised October 20, 2011
79) LICENSE PLATE NUMBER:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z” or “A”.
b) Enter “UNKNOWN” if Section 41-UNIT TYPE is “D” or “C” and the license plate number is unknown.
c) Enter “NONE” if Section 41-UNIT TYPE is “D” or “C” and no license plate is present or required.
d) Enter “MIL VEH” if
i) Section 41-UNIT TYPE is “D” or “C” and
ii) The vehicle is a military vehicle and
iii) No license plate is displayed.
e) Enter the alphanumeric identifier on the license plate affixed to the motor vehicle if known and Section 41-
UNIT TYPE is “D” or “C”.
i) Enter the license plate number currently displayed [Personalized plate, dealer tags (paper or metal), etc.].
ii) Enter the correct license plate number in Section 221-REMARKS if the displayed license plate is not the
license plate assigned to the vehicle.
iii) Do not enter spaces, hyphens or any other separators.
f) Enter the railroad company designator followed by the three or four digit number displayed on the lead
locomotive if Section 41-UNIT TYPE is “T”, if known.
Example: BNSF9837, UP6736M, KCS708
80) STATE:
a) Leave this data section blank if Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “00” if
i) Section 79-LICENSE PLATE NUMBER is “NONE” or
ii) Section 41-UNIT TYPE is “T”.
c) Enter “99” if
i) Section 79-LICENSE PLATE NUMBER is “UNKNOWN” or
ii) An Indian Nation (Tribal) license plate affixed to the vehicle does not display a state.
d) Enter the state abbreviation of the license plate listed in Section 79-LICENSE PLATE NUMBER, if known
(See Appendix B).
i) Enter the state shown on the Indian Nation (Tribal) license plate, not the Indian Nation.
ii) Enter “US” for federal license plates.
iii) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
iv) Enter “CN” if Canadian province is unknown.
v) Enter “MX” if Mexican state is unknown.
e) Enter “98” for countries other than U.S., Canada and Mexico and explain in the Section 221-REMARKS.
52 Revised October 20, 2011
81) MONTH:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “T” or
ii) Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “00” if Section 79-LICENSE PLATE NUMBER is “NONE”.
c) Enter “99” if Section 79-LICENSE PLATE NUMBER is “UNKNOWN”.
d) Enter the two-digit month (“01”, “02” …”12”) of the registration as indicated on the license plate in Section 79-
LICENSE PLATE NUMBER, if known.
e) Enter “12” for non-expiring license plates or license plates issued to a state, city, county or school district with
no expiration decal.
82) YEAR:
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “T” or
ii) Section 79-LICENSE PLATE NUMBER is blank.
b) Enter “0” in the far left of the data section if Section 79-LICENSE PLATE NUMBER is “NONE”.
c) Enter “9” in the far left of the data section if Section 79-LICENSE PLATE NUMBER is “UNKNOWN”.
d) Enter the four-digit year of the registration as indicated on the license plate in Section 79-LICENSE PLATE
NUMBER, if known.
e) Enter the current year for non-expiring license plates or license plates issued to a state, city, county or school
district with no expiration decal.
Article XII. Page #1, Line 9
83) VEHICLE IDENTIFICATION NUMBER (VIN):
a) Leave this data section blank if
i) Section 41-UNIT TYPE is “P” or “A” or
ii) Section 41-UNIT TYPE is “X”, “B” or “Z” and no identifying number is available.
b) Enter “9” in the far left of the data section if the VIN is unknown.
53 Revised October 20, 2011
c) Enter the VIN assigned to the vehicle by the manufacturer if Section 41-UNIT TYPE is “D” or “C”, if known.
i) Attempt to verify the VIN listed on the registration against the vehicle’s VIN plate.
ii) Enter the VIN digits from left to right.
(1) The VIN plate on most automobiles, pick-up trucks, and vans is located on the front left corner of the
dashboard, visible through the windshield. Additionally, a VIN plate may be present on the inside of
the driver’s door.
(2) The VIN plate on most tractor-trailers is located on a plate in the passenger compartment. This plate
can readily be seen by opening the driver’s door.
(3) The VIN plate on the majority of motorcycles is located on the fork or frame itself, not the number on
the engine; most motorcycles have an engine serial number that is different from the VIN.
iii) Do not enter spaces, hyphens or any other separators.
d) Enter a unique identifying number if Section 41-UNIT TYPE is “X”, “B” or “Z”, if available.
e) Enter the train consist number if Section 41-UNIT TYPE is “T”. This is usually in possession of the conductor.
84) VEHICLE YEAR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “9” in far left of the data section if Section 41-UNIT TYPE is “D” or “C” and the vehicle year is unknown.
c) Enter the vehicle year as assigned by the manufacturer if Section 41-UNIT TYPE is “D” or “C”, if known.
i) Use all four digits to denote the model year.
85) COLOR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “9” in far left of the data section if Section 41-UNIT TYPE is “D” or “C” and the vehicle color is unknown.
c) Enter the vehicle color code from Table 85-1 if Section 41-UNIT TYPE is “D” or “C”, if known.
i) For multicolored vehicles (three or more colors), enter MUL in this data block.
ii) When describing a vehicle of two colors, the order of listing shall be from top to bottom or from front to
rear. Example: WHI BLU RED WHI.
Vehicle Color Codes
COLOR CODE COLOR CODE COLOR CODE
Aluminum SIL Cream CRM Purple PLE
Amethyst (Purple) AME Gold GLD Red RED
Beige BGE Gray GRY Silver SIL
Black BLK Green GRN Stainless Steel COM
Blue BLU Green, dark DGR Tan TAN
Blue, Dark DBL Green, light LGR Taupe (Brown) TPE
Blue, Light LBL Ivory CRM Teal TEA
Bronze BRZ Lavender LAV Turquoise TRQ
Brown BRO Maroon MAR White WHI
Burgundy MAR Mauve (Purple) MVE Yellow YEL
Camouflage CAM Multicolored MUL
54 Revised October 20, 2011
Vehicle Color Codes
Chrome COM Orange ONG
Copper CPR Pink PNK
Table 85-1
86) SECOND COLOR:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A” or “T”.
b) Enter “0” in far left of the data section if
i) Section 41-UNIT TYPE is “D” or “C” and there is not a second color or
ii) Section 85-COLOR is “MUL”.
c) Enter “9” in the far left of the data section, if Section 85-COLOR is “9” or the second color is unknown.
d) Enter the vehicle color code from Table 86-1 if Section 41-UNIT TYPE is “D” or “C” and if a second color is
known.
i) Do not use “MUL” in this data section.
ii) When describing a vehicle of two colors, the order of listing shall be from top to bottom or from front to
rear. Example: WHI BLU RED WHI.
Vehicle Color Codes
COLOR CODE COLOR CODE COLOR CODE
Aluminum SIL Cream CRM Purple PLE
Amethyst (Purple) AME Gold GLD Red RED
Beige BGE Gray GRY Silver SIL
Black BLK Green GRN Stainless Steel COM
Blue BLU Green, dark DGR Tan TAN
Blue, Dark DBL Green, light LGR Taupe (Brown) TPE
Blue, Light LBL Ivory CRM Teal TEA
Bronze BRZ Lavender LAV Turquoise TRQ
Brown BRO Maroon MAR White WHI
Burgundy MAR Mauve (Purple) MVE Yellow YEL
Camouflage CAM
Chrome COM Orange ONG
Copper CPR Pink PNK
Table 86-1
87) MAKE:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, or “A”.
b) Enter “UNKN” if Section 41-UNIT TYPE is “D”, “C” or “T” and vehicle make is unknown.
c) Enter the make or trade name of the vehicle if Section 41-UNIT TYPE is “D” or “C” and vehicle make is known
(See Appendix C).
i) Vehicle makes can be two to four letters. Check the partial NCIC list found in Appendix C. Use NCIC
codes only.
(1) Enter the make or trade name of the vehicle beginning in the far left of the data section.
ii) Keep in mind the codes may be different from those used in the past.
55 Revised October 20, 2011
(1) Examples: Kenworth �� KW, Freightliner – FRHT, Peterbilt – PTRB, Saab – SAA.
iii) Enter “OTHE” if an NCIC code for the make cannot be found on the list.
iv) Additional NCIC Vehicle Codes may be found at:
http://www.leds.state.or.us/OSP/CJIS/docs/NCIC_Vehicle_Codes.pdf
d) Enter “FRGT” if Section 41-UNIT TYPE is “T” and the unit is a freight train.
e) Enter “PASS” if Section 41-UNIT TYPE is “T” and the unit is a passenger train.
88) MODEL:
a) Leave this data section blank if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, or “A”.
b) Enter “UNKN” if
i) Section 41-UNIT TYPE is “D” or “C” and the vehicle make is unknown or
ii) Section 41-UNIT TYPE is “T” and the number of railcars and non-lead locomotives is unknown.
c) Enter the first four characters of the model name of the vehicle beginning in the far left of the data if Section
41-UNIT TYPE is “D” or “C” and the vehicle model is known.
d) Enter the total number of railcars and non-lead locomotives beginning in the far left of the data section if
Section 41-UNIT TYPE is “T”.
Example: 1-lead locomotive, 3 non-lead locomotives and 40 rail cars. Enter “43” for the total number of
railcars in the Vehicle Model Section.
89) VEHICLE CONFIGURATION:
Table 89-1
56 Revised October 20, 2011
a) This data section shall not be left blank.
b) Enter “00” if Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
c) Enter “99” if Section 41-UNIT TYPE is “D” or “C” and the vehicle configuration is unknown.
d) Enter the appropriate vehicle configuration, if known, from the Table 89-1 if Section 41-UNIT TYPE is “D” or
“C”.
e) Enter description of “Other” in Section 221-REMARKS.
90) EXTENT OF DAMAGE:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 39-UNIT is a non-contact unit (“0A”, “0B”, etc.) or
ii) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T”.
c) Enter “9” if Section 41-UNIT TYPE “D” or “C” and extent of damage are unknown.
d) Enter “1”, “2”, “3”, or “4” to indicate the extent of damage if Section 41-UNIT TYPE is “D” or “C”.
• 1 – None.
• 2 -- Minor - Limited cosmetic damage that does not render the vehicle immobile.
• 3 -- Functional - Road vehicle damage, other than disabling damage, which affects operation of the road
vehicle or its parts.
• 4 -- Disabling - Damage which precludes departure of the vehicle from the collision, if moved, in its usual
operating manner by daylight after simple repairs.
Article XIII. Page #1, Line 10
91) INSURANCE VERIFICATION:
a) This data section shall not be left blank.
b) Enter “0” if
57 Revised October 20, 2011
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T” or
ii) Section 41-UNIT TYPE is “C” and the unit is legally parked on private property.
c) Enter “9” if Section 41-UNIT TYPE is “D” or “C” and insurance verification is unknown.
d) Enter “1”, “2”, “3” or “4” to indicate the appropriate description for insurance verification, if known.
• 1 – No - If the operator or owner of the unit does not have satisfactory evidence of minimum liability
insurance.
• 2 – Owner - If the operator is the legal owner of the unit.
Title 47 § 7-602 A1. The owner of a motor vehicle registered in this state shall carry in such vehicle
at all times, a current owner's security verification form listing the vehicle, or an equivalent form which
has been issued by the Department and shall produce such form upon request for inspection by any
law enforcement officer or representative of the Department of Public Safety, and in case of a
collision, the form shall be shown upon request to any person affected by said collision.
• 3 –Operator - If the operator is not the legal owner of the unit.
• 4 – Exempt - If the operator of the unit is exempt from producing security verification.
Title 47 §7-602.A.4. The following shall not be required to carry an owner's or operator's security
verification form or an equivalent form from the Department during the operation of the vehicle and
shall not be required to surrender such form for vehicle registration purposes.
Title 47 § 7-602 A.4.a. Any vehicle owned or leased by the federal or state government, or any
agency or political subdivision thereof.
Title 47 § 7-602A.4.b. Any vehicle bearing the name, symbol, or logo of a business, corporation or
utility on the exterior and which is in compliance with the provisions of Section 7-600 through 7-607 of
this title according to records of the Department of Public Safety which reflect a deposit, bond, self-insurance,
or fleet policy.
Title 47 § 7-602.A.4.c. Fleet vehicles maintaining current vehicle liability insurance as required by the
Corporation Commission or any other regulating entity.
Title 47 § 7-602.A.4.d. Any licensed taxi cab.
Title 47 § 7-602.A.4.e. Any vehicle owned by a licensed, used motor vehicle dealer.
Exempt units are not limited to these examples.
92) INSURANCE COMPANY NAME:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter the business name of the insurance company insuring the vehicle if Section 91-INSURANCE
VERIFICATION is “2” or “3”.
93) POLICY NUMBER:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter the policy number if Section 91-INSURANCE VERIFICATION is “2” or “3”.
58 Revised October 20, 2011
c) Enter effective and expiration dates after the policy number, if agency policy dictates.
94) INSURANCE TELEPHONE NUMBER:
a) Leave this data section blank if Section 91-INSURANCE VERIFICATION is “0”, “1”, “4” or “9”.
b) Enter “9” in the far left of the data section if Section 91-INSURANCE VERIFICATION is “2” or “3” and the
telephone number is unknown.
c) Enter the insurance provider’s telephone number including the area code if Section 91-INSURANCE
VERIFICATION is “2” or “3” and the telephone number is known.
i) A list of area code prefixes for Oklahoma cities is provided in Appendix K.
ii) Do not enter spaces, hyphens or any other separators.
Article XIV. Page #1, Line 11
95) VEHICLE REMOVED BY:
• This data section consists of two elements: “Driver” and “Vehicle Removed by”.
a) Leave both elements blank if
i) Section 41-UNIT TYPE is “P”, “A” or “T” or
ii) Section 41-UNIT TYPE is “D”, “X”, “B”, “Z” or “C” and it is unknown who removed the vehicle.
b) Indicate in the “Driver” element if the driver removed the vehicle and Section 41-UNIT TYPE is “D”, “X”, “B”,
“Z” or “C”.
c) Leave the “Vehicle Removed by” element blank, if the “Driver” element is indicated.
d) Enter “LEFT AT SCENE” in the “Vehicle Removed by” element if the vehicle is not removed and Section 41-
UNIT TYPE is “D”, “X”, “B”, “Z”, or ���C”.
e) Enter the name of the person or company that removed the vehicle, if known, in the “Vehicle Removed by”
element, if Section 41-UNIT TYPE is “D”, “X”, “B”, “Z”, or “C”.
96) OWNER’S LAST NAME:
• This data section consists of two elements: “Same as Driver” and “Owner’s Last Name”.
a) Leave both elements blank if
59 Revised October 20, 2011
i) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and the person listed in Section 44-LAST NAME is not a
minor (over age 17) or
ii) Section 41-UNIT TYPE is “A” and the unit is a wild animal.
iii) Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV” and the owner and carrier are the same.
b) Indicate in the “Same as Driver” element if
i) Section 41-UNIT TYPE is “D” or “C” and the owner is the driver or
ii) Section 41-UNIT TYPE is “X”, “B”, or “Z” and the owner is the driver and is not a minor (over age 17).
c) Leave the “Owner’s Last Name” element blank if the “Same as Driver” element is indicated.
d) Enter “UNKNOWN” in the “Owner’s Last Name” element if
i) Section 41-UNIT TYPE is “D” or “C” and the owner is unknown or
ii) Section 41-UNIT TYPE is “A” and the unit is not a wild animal and the owner is unknown or
iii) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and the person listed in Section 44-LAST NAME is a minor
(under age 18) and parents and/or guardian are unknown or
iv) Section 41-UNIT TYPE is “T” and the owner of the railroad track is unknown.
e) Enter the last name of the owner, if known, in the “Owner’s Last Name” element if the owner is an individual
and
i) Section 41-UNIT TYPE is “D” or “C” and the owner is not the driver or
ii) Section 41-UNIT TYPE is “D” or “C” and Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV”
and the owner is not the same as the carrier or
iii) Section 41-UNIT TYPE is “X”, “B” or “Z” and the owner is not the driver and is not a minor (over age 17)
or
iv) Section 41-UNIT TYPE is “A” and the unit is not a wild animal.
f) Enter the entity name of the owner, if known, in the “Owner’s Last Name” element if the owner is not an
individual and
i) Section 41-UNIT TYPE is “D” or “C” and Section 43-COMMERCIAL MOTOR VEHICLE indicates “CMV”
and the owner is not the same as the carrier or
ii) Section 41-UNIT TYPE is “X”, “B” or “Z” and the owner is not the driver and is not a minor (over age 17)
or
iii) Section 41-UNIT TYPE is “A” and the unit is not a wild animal.
iv) Abbreviations and acronyms are allowed. Example: ODOT, OTA, OK TURNPIKE AUTH, etc.
v) In addition, enter the complete entity name in the Section 221-REMARKS, if the entity’s acronym or
abbreviated name is not well known.
g) Enter the Last Name of the parent or guardian of the person listed in Section 44-LAST NAME in the “Owner’s
Last Name” element if
i) Section 41-UNIT TYPE is “P”, “X”, “B” or “Z” and
ii) The person listed in Section 44-LAST NAME is a minor (under age 18) and
iii) The parent or guardian’s name is known.
h) Enter the company name of the owner of the railroad tracks in the “Owner’s Last Name” element if Section
41-UNIT TYPE is “T”. This may or may not be same as the owner of the train.
97) OWNER’S FIRST NAME:
a) Leave this data section blank if
60 Revised October 20, 2011
i) “Same as Driver” element is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The first name is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the First Name of the person listed in Section 96-OWNER’S LAST NAME, if known.
98) OWNER’S MIDDLE INITIAL:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The middle name is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the Middle Name of the person listed in Section 96-OWNER’S LAST NAME, if known.
99) OWNER’S SUFFIX:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank or “UNKNOWN” or
iii) The suffix is unknown or
iv) The name in Section 96-OWNER’S LAST NAME is a company name.
b) Enter the Suffix (Jr., Sr., III, etc.) of the person listed in Section 96-OWNER’S LAST NAME, if known. Do not
enter titles such as Mr., Mrs., Ms., etc.
c) The suffix shall be entered after the Middle Name (Section 98-OWNER’S MIDDLE INITIAL) if no suffix data
section is available.
Article XV. Page #1, Line 12
100) VEHICLE OWNER’S ADDRESS:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The “Owner’s Last Name” element of Section 96-OWNER’S LAST NAME is blank.
61 Revised October 20, 2011
b) Enter “UNKNOWN” if the address of the entity listed in Section 96-OWNER’S LAST NAME is unknown.
c) Enter the address of the entity listed in Section 96-OWNER’S LAST NAME, if known.
101) VEHICLE OWNER’S CITY:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) The city of the entity listed in Section 96-OWNER’S LAST NAME is unknown or
iii) Section 100-VEHICLE OWNER’S ADDRESS is blank or “UNKNOWN”.
b) Enter the city of the entity listed in Section 96-OWNER’S LAST NAME, if known.
102) VEHICLE OWNER’S STATE:
a) Leave this data section blank if the “Same as Driver” element in Section 96-OWNER’S LAST NAME is
indicated.
b) Enter “99” if
i) Section 100-VEHICLE OWNER’S ADDRESS is “UNKNOWN”
ii) The state of the entity listed in Section 96-OWNER’S LAST NAME is unknown.
c) Enter the state abbreviation of the entity listed in Section 96-OWNER’S LAST NAME, if known (See Appendix
B).
i) Use abbreviations in Appendix B for Canadian provinces and Mexican states.
ii) Enter “CN” if Canadian province is unknown.
iii) Enter “MX” if Mexican state is unknown.
d) Enter “98” for countries other than the U.S., Canada and Mexico and explain in the remarks.
103) VEHICLE OWNER’S ZIP CODE:
a) Leave this data section blank if
i) “Same as Driver” element in Section 96-OWNER’S LAST NAME is indicated or
ii) Section 100-VEHICLE OWNER’S ADDRESS is blank or “UNKNOWN” or
iii) The zip code of the entity listed in Section 96-OWNER’S LAST NAME is unknown or
iv) The address is not in the U.S.
b) Enter the five-digit zip code for a U.S. address of the entity listed in Section 96-OWNER’S LAST NAME, if
known.
i) A list of Oklahoma zip codes is provided in Appendix J.
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104) OVERSIZED LOAD:
a) This data section shall not be left blank.
b) Enter “0” if
i) Section 41-UNIT TYPE is “P”, “X”, “B”, “Z”, “A”, or “T” or
ii) Section 41-UNIT TYPE is “D” or “C” and the oversized load status of the unit is unknown or
iii) Section 41-UNIT TYPE is “D” or “C” and the unit is not an oversized load.
(1) Oversized loads are defined in Title 47, Chapter 14, Section 103.
c) Enter “N” if Section 41-UNIT TYPE is “D” or “C” and the unit is an o